Organization Active NPI

Scoccia Medical Services, PLLC

  • Family Medicine Physician
  • Kerrville, TX
National Provider Identifier
1134512122
Registry record updated Apr 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SCOCCIA MEDICAL SERVICES, PLLC
Practice address
707 Hill Country Dr
Ste 106
Kerrville, TX 78028-5996
Phone
(830) 896-0404
Fax
(830) 896-4343
NPI assigned
Mar 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2017

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

Authorized official

Name
Vincent Scoccia, DONPI 1841359189
Title
Owner-Provider
Phone
(830) 896-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

707 Hill Country Dr
Ste 106
Kerrville, TX 78028-5996

Mailing address

PO Box 294898
Kerrville, TX 78029-4898
Phone (830) 896-0404

Other names 1

  • KERRVILLE MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170406000153 TX Part B Supplier - Clinic/Group Practice 0749566784 Receives reassigned benefits from 3 practitioners
Practice locations: Kerrville, TX

National Provider Directory

National Provider Directory

Locations

707 Hill Country Dr
Ste 106
Kerrville, TX 78028
Phone (830) 895-5322

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1134512122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 294898",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780294898",
            "telephone_number": "830-896-0404",
            "fax_number": "830-896-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 HILL COUNTRY DR",
            "address_2": "STE 106",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285996",
            "telephone_number": "830-896-0404",
            "fax_number": "830-896-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOCCIA MEDICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-14",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "SCOCCIA",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER-PROVIDER",
        "authorized_official_telephone_number": "830-896-0404",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERRVILLE MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.