Individual provider Active NPI

Robert D Schertz, MD

  • Nephrology Physician
  • Greensboro, NC
National Provider Identifier
1992744650
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
39881 Issued in NC
Practice address
309 New St
Greensboro, NC 27405-3654
Phone
(336) 379-9708
Fax
(336) 379-8714
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 39881 NC Primary

Addresses

Primary practice location

309 New St
Greensboro, NC 27405-3654

Mailing address

309 New St
Greensboro, NC 27405-3654
Phone (336) 379-9708

Other identifiers 5

IdentifierTypeStateIssuer
8912989MedicaidNC
3100027OtherNCUHC PROVIDER #
12989OtherNCBCBS PROVIDER #
561274347OtherNCCKA'S TAX ID #
390007986OtherNCRRM PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20070426000209 NC Practitioner - NephrologyPractitioner - Internal Medicine 1254436942 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Kidney Associates PAGroup PAC ID 8628979952, 19 clinicians

Practice addresses (Care Compare)

309 New St
Greensboro, NC 27405-3654
Phone (336) 379-9708

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Health System, Inc. Internal Medicine Current Accepting new patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
Duke University Health System, Inc. CurrentSince Jan 4, 2016 Accepting new patients
Carolina Kidney Associates Nephrology CurrentSince Apr 19, 2001 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jul 1, 2016 Accepting new patients
Carolina Kidney Associates PA Nephrology CurrentSince Apr 19, 2001 Accepting new patients
Duke University Health System, Inc. Internal Medicine CurrentSince Jan 4, 2016 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

309 New St
Greensboro, NC 27405
Phone (336) 379-9708

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10065404

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1992744650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053654",
            "telephone_number": "336-379-9708",
            "fax_number": "336-379-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 NEW ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053654",
            "telephone_number": "336-379-9708",
            "fax_number": "336-379-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERTZ",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "39881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912989",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER #",
            "identifier": "3100027",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "12989",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CKA'S TAX ID #",
            "identifier": "561274347",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM PROVIDER #",
            "identifier": "390007986",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.