Organization Active NPI

James G Scelfo MD PA

  • Family Medicine Physician
  • Celebration, FL
National Provider Identifier
1144215757
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME79384 Issued in FL
Legal business name
JAMES G SCELFO MD PA
Practice address
602 Front St
Celebration, FL 34747-4675
Phone
(407) 566-2454
Fax
(407) 566-2572
NPI assigned
Sep 20, 2005
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Authorized official

Name
Mr. James Gregory Scelfo, MDNPI 1245225846
Title
Owner
Phone
(407) 566-2454

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 ME79384 FL Primary

Addresses

Primary practice location

602 Front St
Celebration, FL 34747-4675

Mailing address

602 Front St
Celebration, FL 34747-4675
Phone (407) 566-2454

Other identifiers 1

IdentifierTypeStateIssuer
13631OtherFLBCBS OF FL

Other names 1

  • Personalized Primary Care Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070109000440 FL Part B Supplier - Clinic/Group Practice 1557361953 Receives reassigned benefits from 2 practitioners
Practice locations: Celebration, FL; Orlando, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1005213Personalized Primary Care602 Front St, Celebration, FL 34747Certificate of waiverOct 15, 2026

National Provider Directory

National Provider Directory

Locations

950 Celebration Blvd
Ste D
Celebration, FL 34747
Phone (321) 939-0559

602 Front St
Kissimmee, FL 34747
Phone (407) 566-2454

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1144215757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 FRONT ST",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474675",
            "telephone_number": "407-566-2454",
            "fax_number": "407-566-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 FRONT ST",
            "city": "CELEBRATION",
            "state": "FL",
            "postal_code": "347474675",
            "telephone_number": "407-566-2454",
            "fax_number": "407-566-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES G SCELFO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "SCELFO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-566-2454",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "13631",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Personalized Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Celebration, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.