Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073513313 Individual Practitioner Male Practitioner

Dr. Stanton G Schultz , MD

Internal Medicine - Nephrology • Mt. Vernon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Stanton Schultz, MD is a registered healthcare professional specializing in Internal Medicine - Nephrology in Mt. Vernon, IL. Practice services are available at 416 NORTH 12TH STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

416 North 12th Street
Southern Illinois Consultants For Kidney Disease, S.c.

Mt. Vernon, IL 628644314

Telephone 6182444850
Fax 6182447985
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Mt. Vernon, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Mt. Vernon, IL (598 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License IN 1027161

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100246480 (IN)
Commercial Insurance / Payer ID Railroad Medicare
390004295 (IN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Steven Zelman , MD

Internal Medicine - Nephrology

NPI 1487618765

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2009

Registered at 416 NORTH 12TH STREET, SOUTHERN ILLINOIS CONSULTANTS FOR KIDNEY DISEASE, S.C., MT. VERNON, IL 628644314 (Tel: 6182444850)

📍
Updated Business Mailing Address July 22, 2009

Registered at P.O. BOX 1704, 416 NORTH 12TH STREET, MT. VERNON, IL 628640034 (Tel: 6182444850)

👤
Provider Name / Credentials Updated July 22, 2009

Recorded as STANTON SCHULTZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2009

Internal Medicine (License #1027161 in IN)

🟢
Initial NPI Registration & Enumeration July 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073513313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2005
Last Update: July 22, 2009
Sole Proprietor: No

Mailing Address

P.o. Box 1704, 416 North 12th Street

Mt. Vernon, IL 628640034

Phone: 6182444850

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.