Individual provider Active NPI

Scott Patch Difrancesco, DO

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1053995860
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5863 Issued in TN
Practice address
540 Fulton St Apt 17G
Brooklyn, NY 11201-7953
Phone
(813) 523-3326
NPI assigned
May 7, 2021
Last updated
Nov 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5863 TN Primary

Addresses

Primary practice location

540 Fulton St Apt 17G
Brooklyn, NY 11201-7953

Mailing address

540 Fulton St Apt 17G
Brooklyn, NY 11201-7953
Phone (813) 523-3326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20250213000464 TN Practitioner - Emergency Medicine 9133659600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians

Practice addresses (Care Compare)

435 2ND St
Newport, TN 37821-3703
Phone (423) 625-2200

923 E Central Ave
La Follette, TN 37766-2768
Phone (423) 907-1200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients

Locations

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

923 E Central Ave
La Follette, TN 37766
Phone (423) 907-1200

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1053995860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 FULTON ST APT 17G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017953",
            "telephone_number": "813-523-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 FULTON ST APT 17G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112017953",
            "telephone_number": "813-523-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFRANCESCO",
        "first_name": "SCOTT",
        "middle_name": "PATCH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-07",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "5863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.