Individual provider Active NPI

Peter Nielsen Schilt, M.D.

  • Otolaryngology Physician
  • Anderson, IN
National Provider Identifier
1992962435
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
01065543A Issued in IN
Practice address
2101 Jackson St Ste 115
Anderson, IN 46016-4355
Phone
(765) 643-6961
NPI assigned
May 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01065543A IN Primary

Addresses

Primary practice location

2101 Jackson St Ste 115
Anderson, IN 46016-4355

Mailing address

2101 Jackson St Ste 115
Anderson, IN 46016-4355

Other identifiers 2

IdentifierTypeStateIssuer
P01203526OtherINRR MEDICARE PTAN
201058790MedicaidIN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pschilt53825@eCommunityDirect.com Community Physicians of Indiana Inc
Direct Messaging Address peter.schilt.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120712000102 IN Practitioner - Otolaryngology 7012172380 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Indiana University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group IncGroup PAC ID 7012047640, 728 clinicians

Practice addresses (Care Compare)

2101 Jackson St
Suite 115
Anderson, IN 46016-4386
Phone (765) 643-6961

Hospital & facility affiliations

  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
  • Ascension St Vincent Mercy Hospital, Elwood, IN, CCN 151308
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Ascension St Vincent Carmel Hospital, Carmel, IN, CCN 150157
  • Ascension St Vincent Fishers Hospital, Fishers, IN, CCN 150181

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincent Medical Group Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pschilt53825@ecommunitydirect.com
  • Direct secure messaging: peter.schilt.1@7598.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1992962435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 115",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 JACKSON ST STE 115",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164355",
            "telephone_number": "765-643-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHILT",
        "first_name": "PETER",
        "middle_name": "NIELSEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01065543A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "P01203526",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201058790",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pschilt53825@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "2101 Jackson St Ste 115",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460164355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.schilt.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "2101 Jackson St Ste 115",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460164355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.