Active NPI
Robyn D Schmucker, M.D.
- Pediatric Infectious Diseases Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Infectious Diseases Physician
- License
- 01071445A
- Practice address
- 11123 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1707 - Phone
- (260) 425-6100
- Fax
- (260) 425-5165
- NPI assigned
- Feb 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 42306 | KY | |
| Pediatric Infectious Diseases Physician | 2080P0208X | 01071445A | IN | Primary |
Addresses
Primary practice location
11123 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1707
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other practice location 1
11455 N Meridian St Ste 200
Carmel, IN 46032-1680
Phone (317) 582-8180
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000774253 | Other | IN | ANTHEM |
| 7100113020 | Medicaid | KY | |
| 200982150 | Medicaid | IN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | rschmucker64657@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42306 | KY | MD | Pediatrics Physician |
| 01071445A | IN | MD | Pediatric Infectious Diseases Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkview Health System Inc | Pediatrics | Current | Accepting new patients |
| Parkview Health System Inc | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Fort Wayne Cardiology Corporation | Past | Accepting new patients |
Locations
11104 Parkview Circle Dr
Ste 410
Fort Wayne, IN 46845
Phone (260) 266-5260
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
3702 New Vision Dr
Bldg B
Fort Wayne, IN 46845
Phone (260) 266-8210
3926 New Vision Dr
Fort Wayne, IN 46845
Phone (260) 266-8210
11123 Parkview Plaza Dr
Ste 200
Fort Wayne, IN 46845
Phone (260) 425-6100
11123 Parkview Plaza Dr
Ste 201
Fort Wayne, IN 46845
Phone (260) 266-8392
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
Interoperability endpoints
- rschmucker64657@direct.parkviewexchange.com
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673913600000",
"number": "1972647444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR # 117",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11123 PARKVIEW PLAZA DR STE 200",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451707",
"telephone_number": "260-425-6100",
"fax_number": "260-425-5165"
}
],
"practiceLocations": [
{
"address_1": "11455 N Meridian St Ste 200",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460321680",
"country_code": "US",
"telephone_number": "317-582-8180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHMUCKER",
"first_name": "ROBYN",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-17",
"last_updated": "2023-01-17",
"certification_date": "2023-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KY",
"license": "42306",
"primary": false
},
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "IN",
"license": "01071445A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000774253",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100113020",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200982150",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11123 Parkview Plaza Dr Ste 200",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451707",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rschmucker64657@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11123 Parkview Plaza Dr Ste 200",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451707",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11123 Parkview Plaza Dr Ste 200",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.