Individual provider Active NPI

James David Scarles, M.D.

  • Internal Medicine Physician
  • Mystic, CT
National Provider Identifier
1194710269
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
031487 Issued in CT
Practice address
200 Sandy Hollow Rd
Mystic, CT 06355-1720
Phone
(860) 572-8911
Fax
(860) 572-7758
NPI assigned
Sep 15, 2005
Last updated
Dec 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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 031487 CT Primary

Addresses

Primary practice location

200 Sandy Hollow Rd
Mystic, CT 06355-1720

Mailing address

200 Sandy Hollow Rd
Mystic, CT 06355-1720
Phone (860) 572-8911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20110215000153 CT Practitioner - Internal Medicine 8123214400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornell Scott Hill Health CorporationGroup PAC ID 3072418359, 261 clinicians

Practice addresses (Care Compare)

428 Columbus Ave
New Haven, CT 06519-1233
Phone (203) 503-3228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Cornell Scott Hill Health Corporation CurrentSince Feb 2, 2023 Accepting new patients

Locations

200 Sandy Hollow Rd
Mystic, CT 06355
Phone (860) 536-4916

428 Columbus Ave
New Haven, CT 06519
Phone (203) 503-3228

270 Montauk Ave
New London, CT 06320
Phone (860) 442-0072

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

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.

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1194710269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SANDY HOLLOW RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551720",
            "telephone_number": "860-572-8911",
            "fax_number": "860-572-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANDY HOLLOW RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551720",
            "telephone_number": "860-572-8911",
            "fax_number": "860-572-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLES",
        "first_name": "JAMES",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "031487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mystic, CT

Sources for this page

Verify at the official NPI Registry.