Individual provider Active NPI

Allison Wagner Scaduto, PA

  • Physician Assistant
  • Greenbelt, MD
National Provider Identifier
1053522813
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002937 Issued in MD
Practice address
7701 Greenbelt Rd
Suite 504
Greenbelt, MD 20770-2037
Phone
(301) 345-7375
Fax
(301) 345-7269
NPI assigned
May 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002937 MD Primary

Addresses

Primary practice location

7701 Greenbelt Rd
Suite 504
Greenbelt, MD 20770-2037

Mailing address

7701 Greenbelt Rd
Ste 504
Greenbelt, MD 20770-6525
Phone (410) 384-9311

Other identifiers 1

IdentifierTypeStateIssuer
C0002937OtherMDMD LICENSE

Other names 1

  • Allison Wagner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200702002577 DC Practitioner - Physician Assistant 6800219197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anne Arundel Dermatology PAGroup PAC ID 6608761960, 126 clinicians

Practice addresses (Care Compare)

6410 Rockledge Dr
Suite 402
Bethesda, MD 20817-7807
Phone (301) 530-4800

7501 Greenway Ctr Dr
Suite 1000
Greenbelt, MD 20770-3513
Phone (301) 345-7375

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C0002937MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anne Arundel Dermatology, P.a. PastSince Aug 1, 2024 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1053522813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 GREENBELT RD",
            "address_2": "STE 504",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706525",
            "telephone_number": "410-384-9311",
            "fax_number": "410-384-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 GREENBELT RD",
            "address_2": "SUITE 504",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702037",
            "telephone_number": "301-345-7375",
            "fax_number": "301-345-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCADUTO",
        "first_name": "ALLISON",
        "middle_name": "WAGNER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "C0002937",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "WAGNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.