Active NPI
Allison Wagner Scaduto, PA
- Physician Assistant
- Greenbelt, MD
National Provider Identifier
1053522813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0002937
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C0002937 | Other | MD | MD LICENSE |
Other names 1
- Allison Wagner
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
Enrollment records 1
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
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 100
- Promoting interoperability
- 95
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C0002937 | MD | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Arundel Dermatology, P.a. | Past | 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.
-
- Specialist
- Greenbelt, MD
- NPI 1679303390
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.