DOUGLAS JAMES SCHWARTZ M.D.
NPI 1215929971
Specialist in Phoenix, AZ

Q: What is Douglas Schwartz's NPI number?

The NPI number for Douglas Schwartz is 1215929971. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Q: What is Douglas Schwartz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Schwartz was last updated on February 17, 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.

Active since August 18, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1300 N 12TH ST, SUITE 522, PHOENIX, AZ 85006(602) 229-1900(602) 257-0810 Get Directions Write a Review

NPPES record last updated: February 17, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Douglas James Schwartz M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS JAMES SCHWARTZ M.D. (NPI 1215929971) is an individual specialist in Phoenix, Arizona, licensed in Arizona (16736) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1985).

NPPES Registry Identity

NPI1215929971

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameDOUGLAS JAMES SCHWARTZCredential: M.D.

Location Address1300 N 12TH ST, SUITE 522Phoenix, AZ 85006-2848

Mailing Address3020 E Camelback Rd, Suite 301Phoenix, AZ 85016-2848 · (602) 229-1900 · Fax (602) 257-0810

Phone(602) 229-1900

Fax(602) 257-0810

Sole ProprietorYes

Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1985

Enumeration DateAugust 18, 2005

Last NPPES UpdateFebruary 17, 2017

✔ NPI 1215929971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AZ · 16736

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1300 N 12TH ST, Phoenix, AZ 85006

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Other Identifiers 8

Other100002420AZ · Rail Road Medicare

Other1383550-005AZ · Cigna Health Plan

Other0630251AZ · Aetna Health Plan

Other295354AZ · Ahcccs

Other29-00113AZ · United Healthcare

Medicare PINZMD16736AZ

OtherAZ0320000AZ · Bluecross Blueshield

Medicare UPINE45449AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas James Schwartz M.d. 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.

PECOS PAC ID2668497975

PECOS Enrollment IDI20051005001263

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

153 services123 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

144 services144 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

130 services108 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

99 services99 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

96 services93 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

47 services47 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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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.

DR. DIANA LYNELLE DABELL M.D.

Emergency Medicine

1300 N 12TH ST, STE 301
PHOENIX, AZ 85006

Maricopa County (602) 839-6968

PINNACLE COLON AND RECTAL SURGEONS, PLLC

Specialist

1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006

Maricopa County (602) 714-5482

INTERNISTS, ONCOLOGISTS LTD

Internal Medicine (Hematology & Oncology)

1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006

Maricopa County (602) 258-4875

PHILIP KACZAR MD PC

Internal Medicine

1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006

Maricopa County (602) 252-3967

BARBARA J RUNQUIST NP

Nurse Practitioner

1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006

Maricopa County (602) 839-0265

DR. ROBERT DEAN RIERSON MD

Obstetrics & Gynecology

1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006

Maricopa County (602) 839-4915

MISS FARRAH L BLACK PA

Physician Assistant (Medical)

1300 N 12TH ST, STE 500
PHOENIX, AZ 85006

Maricopa County (602) 839-2606

VIKTORIA KRAJNC MD

Family Medicine

1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006

Maricopa County (602) 839-5271

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 Douglas Schwartz's NPI number?

The NPI number for Douglas Schwartz is 1215929971. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Douglas Schwartz located?

Douglas Schwartz practices at 1300 N 12th St Suite 522, Phoenix, AZ 85006. The listed phone number is (602) 229-1900.

What is Douglas Schwartz's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Douglas Schwartz enrolled in Medicare?

Yes. Douglas Schwartz 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.

What insurance does Douglas Schwartz accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Douglas Schwartz 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.

When was this NPI record last updated?

The NPPES record for Douglas Schwartz was last updated on February 17, 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.