NPIMap

Individual provider Active NPI

Charles Joseph Scrobola, M.D.

  • Gastroenterology Physician
  • Edwardsville, PA
National Provider Identifier
1144321639
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD-040056-L Issued in PA
Practice address
75 South Wyoming Avenue Suite 2
Edwardsville, PA 18704
Phone
(570) 824-2800
Fax
(570) 718-1481
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD-040056-L PA Primary
Gastroenterology Physician 207RG0100X MD040056L PA

Addresses

Primary practice location

75 South Wyoming Avenue Suite 2
Edwardsville, PA 18704

Mailing address

75 South Wyoming Avenue Suite 2
Edwardsville, PA 18704
Phone (570) 824-2800

Other identifiers 1

IdentifierTypeStateIssuer
001230177MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000092 PA Practitioner - Internal MedicinePractitioner - Gastroenterology 7911906912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Care Associates, PCGroup PAC ID 7719294685, 9 clinicians

Practice addresses (Care Compare)

490 Northampton St
Suite 1
Edwardsville, PA 18704-4551
Phone (570) 288-8100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
66.3 of 100Reported as group
Quality
37.36
Improvement activities
40
Cost
71.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy231
Upper gastrointestinal (GI) endoscopy for acid reflux240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD040056LPAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Care Associates PC Gastroenterology CurrentSince Aug 10, 2015 Accepting new patients
The Endoscopy Center at Gateway LLC Current Accepting new patients
Hazleton Professional Services Past Accepting new patients

Locations

75 S Wyoming Ave
#2
Edwardsville, PA 18704
Phone (570) 704-4233

494 Northampton St
Ste 2
Kingston, PA 18704
Phone (510) 718-0671

490 Northampton St
Ste 1
Kingston, PA 18704
Phone (570) 288-8100

Interoperability endpoints

  • Direct secure messaging: charles.scrobola.1@14929.direct.athenahealth.com
  • Direct secure messaging: cscrobola@gastronepa.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1144321639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SOUTH WYOMING AVENUE SUITE 2",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-824-2800",
            "fax_number": "570-718-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SOUTH WYOMING AVENUE SUITE 2",
            "city": "EDWARDSVILLE",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-824-2800",
            "fax_number": "570-718-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCROBOLA",
        "first_name": "CHARLES",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD-040056-L",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PA",
            "license": "MD040056L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001230177",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, PA

Sources for this page

Verify at the official NPI Registry.