Active NPI
Charles J Scagliotti, MD
- Surgery Physician
- Allentown, PA
National Provider Identifier
1114925351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD032904L
- Practice address
- 1255 S Cedar Crest Blvd
Ste 1100
Allentown, PA 18103-6256 - Phone
- (610) 770-3270
- Fax
- (610) 432-3249
- NPI assigned
- Jul 12, 2005
- Reactivated
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD032904L | PA | Primary |
Addresses
Primary practice location
1255 S Cedar Crest Blvd
Ste 1100
Allentown, PA 18103-6256
Mailing address
1255 S Cedar Crest Blvd
Ste 1100
Allentown, PA 18103-6256
Phone (610) 770-3270
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02356100 | Other | PA | KEYSTONE HP CENTRAL |
| 1077454 | Other | FIRST HEALTH | |
| 1808787 | Other | PA | HIGHMARK BLUE SHIELD |
| 0007587600007 | Medicaid | PA | |
| 0679297000 | Other | PA | AMERIHEALTH PPO & HMO |
| 175720 | Other | PA | UNISON AB |
| 020042619 | Other | PA | RAILROAD MEDICARE |
| 1057378001 | Other | CIGNA | |
| 14339 | Other | GEISINGER HEALTH | |
| 4502785 | Other | PA | AETNA USHC |
| 01004101 | Other | CAPITAL BLUE CROSS | |
| 1106985 | Other | PA | AMERIHEALTH/MERCY |
| 000116466 | Other | HIGHMARK PPO | |
| 0010131800 | Other | BLACK LUNG | |
| 0040083000 | Other | INDEPENDENCE BLUE CROSS | |
| 2646498000 | Other | PA | KEYSTONE HP EAST |
| 0040083000 | Other | PA | PERSONAL CHOICE |
| 7116466 | Other | PA | GATEWAY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD032904L | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles J. Scagliotti, MD | Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Surgery Physician
- Allentown, PA
- NPI 1487683751
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210896000000",
"number": "1114925351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 S CEDAR CREST BLVD",
"address_2": "STE 1100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036256",
"telephone_number": "610-770-3270",
"fax_number": "610-432-3249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 S CEDAR CREST BLVD",
"address_2": "STE 1100",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036256",
"telephone_number": "610-770-3270",
"fax_number": "610-432-3249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCAGLIOTTI",
"first_name": "CHARLES",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2008-05-16",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD032904L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HP CENTRAL",
"identifier": "02356100",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "1077454",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "1808787",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0007587600007",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO & HMO",
"identifier": "0679297000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON AB",
"identifier": "175720",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "020042619",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1057378001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH",
"identifier": "14339",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA USHC",
"identifier": "4502785",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01004101",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/MERCY",
"identifier": "1106985",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PPO",
"identifier": "000116466",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "0010131800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "0040083000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HP EAST",
"identifier": "2646498000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CHOICE",
"identifier": "0040083000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "7116466",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.