Active NPI
Scott B Chelemer, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Reston, VA
National Provider Identifier
1063497329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 25MA06391900
- Practice address
- 1768 Business Center Dr Ste 100
Reston, VA 20190-5359 - Phone
- (800) 762-9244
- Fax
- (786) 672-6006
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA06391900 | NJ | |
| Pulmonary Disease Physician | 207RP1001X | 25MA06391900 | NJ | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MA06391900 | NJ | Primary |
Addresses
Primary practice location
1768 Business Center Dr Ste 100
Reston, VA 20190-5359
Mailing address
1768 Business Center Dr Ste 100
Reston, VA 20190-5359
Phone (786) 785-1514
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04911368 | Medicaid | NY | |
| 7228805 | Medicaid | NJ | |
| 102450866-0001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare, PLLC | Internal Medicine | Current | Accepting new patients |
| Intensivist Group of Pennsylvania, PC | Internal Medicine | Past | Accepting new patients |
Locations
70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1609825801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614470400000",
"number": "1063497329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1768 BUSINESS CENTER DR STE 100",
"city": "RESTON",
"state": "VA",
"postal_code": "201905359",
"telephone_number": "786-785-1514",
"fax_number": "786-672-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1768 BUSINESS CENTER DR STE 100",
"city": "RESTON",
"state": "VA",
"postal_code": "201905359",
"telephone_number": "800-762-9244",
"fax_number": "786-672-6006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHELEMER",
"first_name": "SCOTT",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-09",
"last_updated": "2021-02-28",
"certification_date": "2021-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA06391900",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NJ",
"license": "25MA06391900",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MA06391900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04911368",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7228805",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102450866-0001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2021; 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.