Individual provider Active NPI

Phyllis Sharon Schreiner

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1972561512
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0026520 Issued in MD
Practice address
6000 Executive Blvd
Suite 300
Rockville, MD 20852-3803
Phone
(301) 468-8999
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2009

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 D0026520 MD Primary

Addresses

Primary practice location

6000 Executive Blvd
Suite 300
Rockville, MD 20852-3803

Mailing address

6000 Executive Blvd
Suite 300
Rockville, MD 20852-3803
Phone (301) 468-8999

Other identifiers 13

IdentifierTypeStateIssuer
026702OtherMDJHHC PROVIDER NUMBER
496838OtherMDNCCPO PROVIDER NUMBER
5020444OtherMDAETNA HMO PROVIDER NUMBER
8127026OtherMDMAMSI PROVIDER NUMBER
9070 0015OtherMDBSDC PROVIDER NUMBER
P15935OtherMDCAREFIRST POS
7882667OtherMDCIGNA PROVIDER NUMBER
521186611OtherMDUNITED HEALTHCARE PROV #
8127026OtherMDALLIANCE PROVIDER NUMBER
5020444OtherMDAETNA PPO PROVIDER NUMBER
53115803OtherMDBSMD PROVIDER NUMBER
8127026OtherMDMDIPA PROVIDER NUMBER
8127026OtherMDOPTIMUM CHOICE PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110610000704 DC Practitioner - Internal Medicine 4789861139 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0026520MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elliot R Goldstein MD & Joel R Schulman MD PA Internal Medicine CurrentSince Jun 1, 2003 Accepting new patients
Elliot R Goldstein MD & Joel R Schulman MD PA CurrentSince Jun 1, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6000 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 468-8999

Organizations & group practices 3

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1972561512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD",
            "address_2": "SUITE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "301-468-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 EXECUTIVE BLVD",
            "address_2": "SUITE 300",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523803",
            "telephone_number": "301-468-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREINER",
        "first_name": "PHYLLIS",
        "middle_name": "SHARON",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0026520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JHHC PROVIDER NUMBER",
            "identifier": "026702",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPO PROVIDER NUMBER",
            "identifier": "496838",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO PROVIDER NUMBER",
            "identifier": "5020444",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI PROVIDER NUMBER",
            "identifier": "8127026",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC PROVIDER NUMBER",
            "identifier": "9070 0015",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST POS",
            "identifier": "P15935",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "7882667",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE PROV #",
            "identifier": "521186611",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE PROVIDER NUMBER",
            "identifier": "8127026",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO PROVIDER NUMBER",
            "identifier": "5020444",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD PROVIDER NUMBER",
            "identifier": "53115803",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA PROVIDER NUMBER",
            "identifier": "8127026",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM CHOICE PROVIDER #",
            "identifier": "8127026",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.