Scott Jusseaume, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD19533 Issued in RI

Practice address

450 Brook St
Providence, RI 02906-2231

Phone

(401) 863-3953

Fax

(401) 863-7953

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. 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

State licenses

Practice roles

Locations

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.

• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Boston, MA
  • NPI 1881261303
  Medicare reassignment NPD
• Brown University of Provedence State of Ri and Prov Plantaio

  • Community/Retail Pharmacy
  • Providence, RI
  • NPI 1629013149
  NPD
• Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1396317079
  NPD
• Family Care Centers PC

  • Family Medicine Physician
  • Stoneham, MA
  • NPI 1750363347
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1013986140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 BROOK ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BROOK ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062231",
            "telephone_number": "401-863-3953",
            "fax_number": "401-863-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSSEAUME",
        "first_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "216386",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD19533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080222",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Juaire, LICSW
• Julie Talbutt Licsw LLC
• Jesse Min Jun, M.D.
• Cyprien Gabriel Jungels, DO
• Courtney L. Jusino, DNP
• Linda Justice, RN
• Alejandro Juul, MD
• Rose Caroline Kaczmarek
• Elizabeth Ann Kadow, MD
• Mazhar Kadwalwala, MD, MBA

• Family Medicine Physician in Providence, RI
• Providers in Providence, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.