Individual provider Active NPI

Scott E Hastings, DO

  • Adult Medicine Physician
  • Frisco, TX
National Provider Identifier
1174597553
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
P9870 Issued in TX
Practice address
11330 Legacy Dr Ste 301
Frisco, TX 75033-1217
Phone
(214) 396-9191
Fax
(866) 404-2878
NPI assigned
Feb 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X P9870 TX Primary

Addresses

Primary practice location

11330 Legacy Dr Ste 301
Frisco, TX 75033-1217

Mailing address

11330 Legacy Dr Ste 301
Frisco, TX 75033-1217
Phone (214) 396-9191

Other identifiers 1

IdentifierTypeStateIssuer
896102MedicaidAZ

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
I20141215000574 TX Practitioner - Family Practice 9436053147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City University of Physicians and Surgeons, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11330 Legacy Dr
Suite 301
Frisco, TX 75033-1217
Phone (214) 396-9191

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9870TXMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Plus LLC Family Medicine CurrentSince Feb 10, 2020 Accepting new patients
Preferred Emergency Physicians Past Accepting new patients

Locations

11330 Legacy Dr
Ste 301
Frisco, TX 75033
Phone (214) 396-9191

9191 Kyser Way
Ste 602
Frisco, TX 75033
Phone (214) 705-9433

Interoperability endpoints

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1174597553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 301",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331217",
            "telephone_number": "214-396-9191",
            "fax_number": "866-404-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11330 LEGACY DR STE 301",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750331217",
            "telephone_number": "214-396-9191",
            "fax_number": "866-404-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASTINGS",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TX",
            "license": "P9870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "896102",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.