Jordan Scalo, MD

Primary specialty

Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X

License

H73442 Issued in TX

Practice address

6811 Austin Center Blvd Ste 400
Austin, TX 78731-3157

Phone

(512) 380-9200

Fax

(512) 380-9201

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Pediatric MedicineAlso: Pulmonary Disease

Education

Icahn School of Medicine at Mount Sinai, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dell Childrens Medical GroupGroup PAC ID 8224092978, 117 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jordan.scalo.1@8363.direct.athenahealth.com

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.

• Dell Children'S Medical Group

  • Pediatrics Physician
  • Austin, TX
  • NPI 1326072943
  Medicare reassignment Care Compare group NPD
• Dell Children'S Medical Group

  • Sleep Disorder Diagnostic Clinic/Center
  • Austin, TX
  • NPI 1124748249
  NPD
• Dell Children'S Medical Group

  • Pediatrics Physician
  • Round Rock, TX
  • NPI 1790103869
  NPD

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1013089218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313157",
            "telephone_number": "512-380-9200",
            "fax_number": "512-380-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 AUSTIN CENTER BLVD STE 400",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313157",
            "telephone_number": "512-380-9200",
            "fax_number": "512-380-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALO",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "TX",
            "license": "H73442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "153942103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Marie Scaduto, PMHNP-BC
• Brian Foster Scaff, DDS
• Bruce E Scaff, M.D.
• Garrett W Scales Jr., MD
• Olive Eugenia Scalise, OTD, OTR/L
• Lindsy Scalzo
• Courtney Scamardo, PA-C
• Megan Kathleen Scanlon, MOT, OTR/L
• Joan Marie Scaparra, OTR/L
• Lais Scappin, CCC-SLP

• Pediatric Pulmonology Physician in Austin, TX
• Providers in Austin, TX by specialty
• Pediatric Pulmonology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.