Individual provider Active NPI

Scott Wenger, MD

  • Orthopaedic Surgery Physician
  • Grapevine, TX
National Provider Identifier
1144282526
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
L7249 Issued in TX
Practice address
815 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-4009
Phone
(817) 421-0505
Fax
(817) 421-6060
NPI assigned
Apr 3, 2006
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X L7249 TX Primary

Addresses

Primary practice location

815 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-4009

Mailing address

815 Ira E Woods Ave
Ste 100
Grapevine, TX 76051-4009
Phone (817) 421-0505

Other identifiers 1

IdentifierTypeStateIssuer
8CC557OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040811001143 TX Practitioner - Orthopedic Surgery 8426956434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Southwestern Medical School at Dallas, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

815 Ira E Woods Ave
Suite 100
Grapevine, TX 76051-4009
Phone (817) 421-0505

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Institute of Orthopedic Surgery & Sports Medicine PLLC Orthopaedic Surgery CurrentSince Sep 9, 2013 Accepting new patients
Kerlan-Jobe Orthopaedic Clinic Orthopaedic Surgery Past Accepting new patients

Locations

815 Ira E Woods Ave
Ste 100
Grapevine, TX 76051
Phone (817) 421-0505

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIDCCD

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1144282526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 IRA E WOODS AVE",
            "address_2": "STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514009",
            "telephone_number": "817-421-0505",
            "fax_number": "817-421-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 IRA E WOODS AVE",
            "address_2": "STE 100",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514009",
            "telephone_number": "817-421-0505",
            "fax_number": "817-421-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENGER",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "L7249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CC557",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.