NPIMap

Individual provider Active NPI

Jinel Angela Scott, MD

  • Diagnostic Radiology Physician
  • Brooklyn, NY
National Provider Identifier
1003847443
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD037021 Issued in DC
Practice address
657 E 24TH St
Brooklyn, NY 11210-1131
Phone
(917) 273-2554
NPI assigned
Jul 5, 2006
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 36118992 IL
Diagnostic Radiology Physician 2085R0202X 41415 KY
Diagnostic Radiology Physician 2085R0202X 237071-1 NY
Diagnostic Radiology Physician 2085R0202X MD037021 DC Primary

Addresses

Primary practice location

657 E 24TH St
Brooklyn, NY 11210-1131

Mailing address

657 E 24TH St
Brooklyn, NY 11210-1131
Phone (917) 273-2554

Other identifiers 6

IdentifierTypeStateIssuer
036118992MedicaidIL
932T71OtherILBCBS
102273260 0001MedicaidPA
200273100AMedicaidOK
7100058590MedicaidKY
1451266MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009003544 NY Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic Radiology 2860596434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36118992ILMDDiagnostic Radiology Physician
41415KYMDDiagnostic Radiology Physician
237071-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
DRS. Hill & Thomas Co. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
F&S Radiology, P.C. Diagnostic Radiology Past Accepting new patients
Osu Health System-Hospital at Home Past Accepting new patients
DRS. Hill & Thomas Co. Diagnostic Radiology Past Accepting new patients
FSH Radiology Inc Diagnostic Radiology Past Accepting new patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology Past Accepting new patients
Radiology Imaging Consultants PC Diagnostic Radiology Past Accepting new patients
Suny Health Science Center at Brooklyn Diagnostic Radiology Past Accepting new patients
Franklin & Seidelmann Inc Diagnostic Radiology Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: jscott1056026@nychhc.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1003847443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101131",
            "telephone_number": "917-273-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 E 24TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112101131",
            "telephone_number": "917-273-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "JINEL",
        "middle_name": "ANGELA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "36118992",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "41415",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "237071-1",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DC",
            "license": "MD037021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118992",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "932T71",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102273260 0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200273100A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100058590",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1451266",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.