Individual provider Active NPI

Scot F. Bertolo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1144225525
Registry record updated Mar 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
36.003201 Issued in OH
Practice address
4485 N High St
Columbus, OH 43214-2637
Phone
(614) 824-5336
Fax
(614) 732-4990
NPI assigned
Jun 14, 2005
Last updated
Mar 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003201 OH Primary

Addresses

Primary practice location

4485 N High St
Columbus, OH 43214-2637

Mailing address

4485 N High St
Columbus, OH 43214-2637
Phone (614) 824-5336

Other identifiers 1

IdentifierTypeStateIssuer
2699576MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070417000295 OH Practitioner - Podiatry 4880609049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.43 of 100Reported as individual
Quality
70.05
Promoting interoperability
93
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003201OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Podiatry LLC Foot & Ankle Surgery CurrentSince May 1, 2009 Accepting new patients

Locations

4485 N High St
Columbus, OH 43214
Phone (614) 824-5336

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5810/brand/1/csg/1/fhir/r4
  • Direct secure messaging: scot.bertolo.1@5810.direct.athenahealth.com

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

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331078400000",
    "number": "1144225525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142637",
            "telephone_number": "614-824-5336",
            "fax_number": "614-732-4990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142637",
            "telephone_number": "614-824-5336",
            "fax_number": "614-732-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTOLO",
        "first_name": "SCOT",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2012-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2699576",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.