LAUREN SCHMALZ MD
NPI 1073041216
Internal Medicine in Philadelphia, PA
About Lauren Schmalz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN SCHMALZ MD (NPI 1073041216) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT213528) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with St Lukes Regional Medical Center, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lauren Schmalz Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Lauren Schmalz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sioux City, IA 51104
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
Bismarck, ND 58501
- Reassigned Medicare billing, North Dakota enrollment
- 616 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Regional Medical Center
Acute Care Hospitals · Sioux City, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19102
PHILADELPHIA, PA 19102
PHILADELPHIA, PA 19102
PHILADELPHIA, PA 19102
PHILA, PA 19102
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lauren Schmalz's NPI number?
The NPI number for Lauren Schmalz is 1073041216. It was assigned to this individual provider in the NPPES registry on June 1, 2017.
Where is Lauren Schmalz located?
Lauren Schmalz practices at 245 N 15th St, Philadelphia, PA 19102. The listed phone number is (215) 762-7000.
What is Lauren Schmalz's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Lauren Schmalz enrolled in Medicare?
Yes. Lauren Schmalz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lauren Schmalz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Schmalz reassigns Medicare benefits to 2 organizations: Northwest Iowa Hospital Corporation (Sioux City, IA) and St. Alexius Medical Center (Bismarck, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Schmalz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lauren Schmalz accept?
Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Oscar Insurance Company, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Lauren Schmalz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lauren Schmalz affiliated with any hospitals?
According to CMS data, Lauren Schmalz is affiliated with St Lukes Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Lauren Schmalz was last updated on June 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lauren Schmalz, MD · NPI 1073041216
Internal Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since June 1, 2017.
## Identity
- **NPI:** 1073041216 (Entity type: Individual)
- **Enumerated:** June 1, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MT213528 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 245 N 15TH ST, Philadelphia, PA 19102-1101
- **Phone:** (215) 762-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Northwest Iowa Hospital Corporation (NPI 1215962550, Sioux City, IA); St. Alexius Medical Center (NPI 1629121074, Bismarck, ND) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** June 1, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1073041216) · Data from the CMS NPPES public registry.