Individual provider Active NPI

Eduardo Scortegagna, M.D.

  • Diagnostic Radiology Physician
  • Miami, FL
National Provider Identifier
1164778056
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME133999 Issued in FL
Practice address
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone
(305) 243-5512
Fax
(305) 243-4613
NPI assigned
Jul 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 24474 MS
Vascular & Interventional Radiology Physician 2085R0204X 251215 MA
Diagnostic Radiology Physician 2085R0202X ME133999 FL Primary

Addresses

Primary practice location

1475 NW 12TH Ave
Miami, FL 33136-1002

Mailing address

1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 243-5512

Other identifiers 3

IdentifierTypeStateIssuer
P01713179OtherMSRAILROAD MEDICARE PTAN
02505546MedicaidMS
192424MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160725001521 MS Practitioner - Diagnostic Radiology 3072811918 Reassigns benefits to 1 organization
I20190123004183 FL Practitioner - Diagnostic Radiology 3072811918 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Baptist Outpatient Services IncGroup PAC ID 6002807385, 198 clinicians

Practice addresses (Care Compare)

10 Giralda Ave
Coral Gables, FL 33134-5303
Phone (904) 399-5550

10125 Glades Rd
Boca Raton, FL 33498-6739
Phone (904) 399-5550

10520 Forest Hill Blvd
Wellington, FL 33414-3179
Phone (561) 204-9355

1228 S Pine Island Rd
Suite 120
Plantation, FL 33324-4580
Phone 95483714204580

13500 Sw152Nd St
Suite 120
Miami, FL 33177-1111
Phone (786) 596-4333

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (904) 399-5550

14660 SW 8TH St
Miami, FL 33184-3135
Phone (904) 399-5550

15721 SW 152ND St
Baptist Health Urgent Care Express at Count
Miami, FL 33187-5417
Phone (786) 595-3710

15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (904) 399-5550

15955 SW 96 St
Miami, FL 33196-1272

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

20665 Lyons Rd
Boca Raton, FL 33434-3911
Phone (561) 883-6677

2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320

3050 NE 164TH St
Miami, FL 33160-4131
Phone (904) 399-5550

4741 S University Dr
Suite 120
Davie, FL 33328-3819
Phone (954) 837-1060

5000 University Dr
Coral Gables, FL 33146-2008
Phone (904) 399-5550

5673 Coral Ridge Dr
Coral Springs, FL 33076-3124
Phone (954) 837-1480

6264 W Sample Rd
Coral Springs, FL 33067-3273

6300 S Dixie Hwy
Suite 120
South Miami, FL 33143-4934
Phone (786) 467-5150

800 Meadows Rd
Boca Raton, FL 33486-2304
Phone (904) 399-5550

8400 NW 53Rd St
F102 Diagnostic Center at Downtown Doral
Doral, FL 33166-4519
Phone (786) 595-3620

8725 SW 136TH St
Miami, FL 33176-5814

8840 Bird Rd
Suite 300
Miami, FL 33165-5482
Phone (786) 596-3880

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (904) 399-5550

8950 N Kendall Dr
Miami, FL 33176-2144
Phone (786) 596-7200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.32 of 100Reported as group
Quality
41.6
Promoting interoperability
95
Improvement activities
40
Cost
76.98

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME133999FLMDDiagnostic Radiology Physician
24474MSMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology CurrentSince Oct 21, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 8, 2016 Accepting new patients
Baptist Outpatient Services Inc Diagnostic Radiology CurrentSince Nov 1, 2021 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Dec 1, 2021 Accepting new patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Nov 1, 2021 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Jul 8, 2016 Accepting new patients

Locations

10125 Glades Rd
Boca Raton, FL 33498
Phone (561) 309-7815

6264 W Sample Rd
Ste 120
Coral Springs, FL 33067
Phone (954) 837-1020

9500 NW 58th St
Doral, FL 33178
Phone (786) 595-3600

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

3301 Overseas Hwy
Marathon, FL 33050
Phone (305) 743-5533

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

5000 University Dr
Miami, FL 33146
Phone (305) 666-2111

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

1801 NW 9th Ave
Fl 6
Miami, FL 33136
Phone (305) 355-5006

9555 SW 162nd Ave
Miami, FL 33196
Phone (786) 467-2000

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200

8950 N Kendall Dr
Ste 504W
Miami, FL 33176
Phone (786) 595-0575

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

91500 Overseas Hwy
Tavernier, FL 33070
Phone (305) 434-3000

2115 Little Rd
Trinity, FL 34655
Phone 7278418225410

965 Avent Dr
Ste 100A
Grenada, MS 38901
Phone (662) 227-7000

2500 N State St
Jackson, MS 39216
Phone (601) 815-4775

239 Bowling Green Rd
Lexington, MS 39095
Phone (662) 834-1321

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 9

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 5

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": "1343433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1164778056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5512",
            "fax_number": "305-243-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 NW 12TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361002",
            "telephone_number": "305-243-5512",
            "fax_number": "305-243-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORTEGAGNA",
        "first_name": "EDUARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-28",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "24474",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "MA",
            "license": "251215",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME133999",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P01713179",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02505546",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192424",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.