Scott Allen Andelin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

7730028-1205 Issued in UT

Practice address

4403 Harrison Blvd
Ste a-700
Ogden, UT 84403-3271

Phone

(801) 387-5300

NPI assigned

Dec 2, 2009

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Family PracticeAlso: Hospitalist

Education

Saint Louis University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ozark Tri-County Health Care ConsortiumGroup PAC ID 8123918257, 38 clinicians

Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, 385 clinicians

Mercy Hospital CassvilleGroup PAC ID 8820999139, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Freeman Health System - Freeman West Hospital, Joplin, MO, CCN 260137
• Freeman Neosho Hospital Hospital, Neosho, MO, CCN 261331
• Mercy Hospital - Cassville Hospital, Cassville, MO, CCN 261317

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• IL PPO Downstate
• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• IA HMO C-SNP
• devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
• devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
• IA HMO

Interoperability endpoints

• Direct secure messaging: scott.andelin@othcdafc.eclinicaldirectplus.com

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.

• Freeman-Oak Hill Health System

  dba Freeman Physician Group

  • Multi-Specialty Clinic/Center
  • Joplin, MO
  • NPI 1679517023

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Mercy Hospital Cassville

  • Critical Access Hospital
  • Cassville, MO
  • NPI 1285676932
  Medicare reassignment Care Compare group NPD
• Ozark Tri-County Health Care Consortium

  dba Access Family Care

  • Federally Qualified Health Center (FQHC)
  • Anderson, MO
  • NPI 1265428791
  Medicare reassignment Care Compare group NPD
• Freeman Neosho Hospital

  dba Freeman Neosho Physician Group

  • Internal Medicine Physician
  • Neosho, MO
  • NPI 1083045686

  Family Medicine

  Medicare reassignment NPD
• Freeman Neosho Hospital

  • Critical Access Hospital
  • Neosho, MO
  • NPI 1598873796
  Medicare reassignment NPD
• Mercy Clinic Joplin LLC

  • Family Medicine Physician
  • Joplin, MO
  • NPI 1215264817
  Medicare reassignment NPD
• Mercy Hospital Aurora

  • Critical Access Hospital
  • Aurora, MO
  • NPI 1467543090
  Medicare reassignment NPD
• Freeman Neosho Hospital

  • Rural Health Clinic/Center
  • Anderson, MO
  • NPI 1437513686
  NPD
• Mercy Hospital Aurora

  • Medicare Defined Swing Bed Hospital Unit
  • Aurora, MO
  • NPI 1295878981
  NPD
• Mercy Hospital Cassville

  • Medicare Defined Swing Bed Hospital Unit
  • Cassville, MO
  • NPI 1154535342
  NPD
• Ozark Tri-County Health Care Consortium

  dba Access Family Care

  • Federally Qualified Health Center (FQHC)
  • Joplin, MO
  • NPI 1538151733
  NPD
• Ozark Tri-County Health Care Consortium

  dba Access Family Care

  • Federally Qualified Health Center (FQHC)
  • Joplin, MO
  • NPI 1649837444
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Freeman Neosho Hospital

  • Critical Access Hospital
  • Neosho, MO
  • NPI 1598873796
  Care Compare affiliation
• Freeman-Oak Hill Health System

  dba Freeman Health System

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Webb City, MO
  • NPI 1114394228

  Hospital

  Care Compare affiliation
• Freeman-Oak Hill Health System

  dba Freeman Health System

  • General Acute Care Hospital
  • Joplin, MO
  • NPI 1265546048
  Care Compare affiliation
• Mercy Hospital Cassville

  • Critical Access Hospital
  • Cassville, MO
  • NPI 1285676932
  Care Compare affiliation

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1013245000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27128",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270128",
            "telephone_number": "801-387-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "STE A-700",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3202 McIntosh Cir Ste 301",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043686",
            "country_code": "US",
            "telephone_number": "417-347-8430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Neosho",
            "state": "MO",
            "postal_code": "648501769",
            "country_code": "US",
            "telephone_number": "417-455-4200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDELIN",
        "first_name": "SCOTT",
        "middle_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-02",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2012003966",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "7730028-1205",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2012003966",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013245000",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Ogden, UT
• Providers in Ogden, UT by specialty
• Family Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.