NPIMap

Individual provider Active NPI

Scott Feudo, MD

  • Internal Medicine Physician
  • Beachwood, OH
National Provider Identifier
1184713885
Registry record updated Dec 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35063020F Issued in OH
Practice address
3909 Orange PL Ste 2400
Beachwood, OH 44122-4468
Phone
(216) 464-1115
Fax
(216) 464-2930
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35063020F OH Primary

Addresses

Primary practice location

3909 Orange PL Ste 2400
Beachwood, OH 44122-4468

Mailing address

PO Box 901900
Cleveland, OH 44190-1900
Phone (216) 464-1115

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address scottfeudo@uhps.allscriptsdirect.net
Direct Messaging Address scottfeudo@uhps.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100602000115 OH Practitioner - Internal Medicine 4284763194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Menorah Park Center for Senior LivingGroup PAC ID 3577469444, 79 clinicians

Practice addresses (Care Compare)

27100 Cedar Rd
Beachwood, OH 44122-1109

3909 Orange PL
Suite 2400
Beachwood, OH 44122-4468
Phone (216) 383-0100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063020FOHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Internal Medicine CurrentSince Aug 1, 2000 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
University Hospitals Regional Practices LLC Internal Medicine Past Accepting new patients
University Primary Care Practices Past Accepting new patients

Locations

3909 Orange Pl
Ste 2400
Beachwood, OH 44122
Phone (216) 464-1115

158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960

Interoperability endpoints

  • Direct secure messaging: sfeudo36108@ehrdirect.uhhospitals.org

Organizations & group practices 5

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 11

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607212800000",
    "number": "1184713885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901900",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441901900",
            "telephone_number": "216-464-1115",
            "fax_number": "216-464-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 ORANGE PL STE 2400",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224468",
            "telephone_number": "216-464-1115",
            "fax_number": "216-464-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEUDO",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-12-06",
        "certification_date": "2020-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35063020F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scottfeudo@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3909 Orange Pl Ste 2400",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224468",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scottfeudo@uhps.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "3909 Orange Pl Ste 2400",
            "city": "Beachwood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441224468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.