Individual provider Active NPI

John Joseph Schoenwald, MD

  • Family Medicine Physician
  • Rockford, IL
National Provider Identifier
1992734446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Practice address
621 Roxbury Rd
Rockford, IL 61107-5077
Phone
(815) 397-3350
Fax
(815) 227-2992
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

621 Roxbury Rd
Rockford, IL 61107-5077

Mailing address

621 Roxbury Rd
Rockford, IL 61107-5077
Phone (815) 397-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20190111001408 GA Practitioner - Family Practice 7113061052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians

Practice addresses (Care Compare)

720 Transit Ave
Suite 101
Canton, GA 30114-2544
Phone (770) 720-7000

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036051304ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC Family Medicine CurrentSince Dec 1, 2018 Accepting new patients
Peachtree Immediate Care UC, LLC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

3540 Cobb Pkwy NW
Acworth, GA 30101
Phone (770) 974-3911

10905 Haynes Bridge Rd
Alpharetta, GA 30022
Phone (770) 343-9898

3425 Buford Dr
Ste 200
Buford, GA 30519
Phone (678) 546-0200

720 Transit Ave
Ste 101
Canton, GA 30114
Phone (770) 720-7000

2575 Peachtree Pkwy
Ste 100
Cumming, GA 30041
Phone (770) 888-8777

3551 Satellite Blvd
Duluth, GA 30096
Phone (770) 476-3000

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

898 Battlefield Pkwy
Fort Oglethorpe, GA 30742
Phone (706) 406-1860

1080 Dawsonville Hwy
#A
Gainesville, GA 30501
Phone (678) 270-1060

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

2481 George Busbee Pkwy NW
Kennesaw, GA 30144
Phone (770) 423-0000

1495 Lafayette Pkwy
Lagrange, GA 30241
Phone (706) 883-7322

1025 Veterans Memorial Hwy SE
Ste 720
Mableton, GA 30126
Phone (678) 819-7870

371 Newnan Crossing Byp
Ste 103
Newnan, GA 30265
Phone (770) 400-8410

3885 Mundy Mill Rd
Ste 114
Oakwood, GA 30566
Phone (678) 971-1892

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000

209 Cooley Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 456-0911

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992734446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075077",
            "telephone_number": "815-397-3350",
            "fax_number": "815-227-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 ROXBURY RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075077",
            "telephone_number": "815-397-3350",
            "fax_number": "815-227-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENWALD",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.