Individual provider Active NPI

David Schatz, MD

  • Internal Medicine Physician
  • Oak Park, IL
National Provider Identifier
1962497925
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-050407 Issued in IL
Practice address
3 Erie CT
Oak Park, IL 60302-2519
Phone
(708) 763-2536
Fax
(708) 383-7655
NPI assigned
Sep 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-050407 IL Primary

Addresses

Primary practice location

3 Erie CT
Oak Park, IL 60302-2519

Mailing address

777 Oakmont LN
Suite 1600
Westmont, IL 60559-5511
Phone (630) 789-2550

Other identifiers 3

IdentifierTypeStateIssuer
036050407MedicaidIL
21618102OtherILBCBS PROV NO
P00106206OtherILMEDICARE - RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040921000159 IL Practitioner - Internal Medicine 2062480197 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-050407ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Healthcare - Lakefront Medical Associates, LLC CurrentSince Jul 22, 2020 Accepting new patients
West Suburban Medical Center Internal Medicine Past Accepting new patients

Locations

4646 N Marine Dr
Chicago, IL 60640
Phone (773) 564-5102

3 Erie Ct
Ste L700
Oak Park, IL 60302
Phone (708) 763-1222

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1 Erie Ct
Oak Park, IL 60302
Phone (708) 383-1024

3 Erie Ct
Ste L500
Oak Park, IL 60302
Phone (708) 763-2536

7420 Central Ave
River Forest, IL 60305
Phone (708) 763-2700

7411 Lake St
Ste 1120
River Forest, IL 60305
Phone (708) 488-1490

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204070400000",
    "number": "1962497925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ERIE CT",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603022519",
            "telephone_number": "708-763-2536",
            "fax_number": "708-383-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHATZ",
        "first_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2008-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-050407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050407",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV NO",
            "identifier": "21618102",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - RR",
            "identifier": "P00106206",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.