Individual provider Active NPI

Michael J Scanameo, MD

  • Ophthalmology Physician
  • Muncie, IN
National Provider Identifier
1205819331
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01053731 Issued in IN
Practice address
200 N Tillotson Ave
Muncie, IN 47304-3988
Phone
(765) 286-8888
Fax
(765) 747-7962
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01053731 IN Primary

Addresses

Primary practice location

200 N Tillotson Ave
Muncie, IN 47304-3988

Mailing address

200 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 286-8888

Other identifiers 1

IdentifierTypeStateIssuer
200319090MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.scanameomd.p57@direct.ahni.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220906002055 AZ Practitioner - Ophthalmology 1052356375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emilio Martin Justo MD PCGroup PAC ID 4183600810, 12 clinicians

Practice addresses (Care Compare)

2450 E Guadalupe Rd
Gilbert, AZ 85234-5116
Phone (480) 507-0600

Merit-based Incentive Payment System (MIPS)

Final score
93.48 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery364

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01053731INMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nationwide Vision Center, LLC CurrentSince Dec 1, 2022 Accepting new patients
Emilio Martin Justo MD PC Ophthalmology CurrentSince Oct 1, 2022 Accepting new patients
Eye Specialists Surgery Centers, LLC Current Accepting new patients
Nationwide Optometry P.C. CurrentSince Dec 1, 2022 Accepting new patients
New Jersey Eye Center, P.a. Ophthalmology Past Accepting new patients

Locations

10735 E Apache Trl
Ste 107
Apache Junction, AZ 85120
Phone (480) 354-7976

10735 E Apache Trl
Apache Junction, AZ 85120
Phone (480) 354-7976

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

2450 E Guadalupe Rd
Ste 107
Gilbert, AZ 85234
Phone (480) 507-0600

3920 S Rome St
Gilbert, AZ 85297
Phone (480) 597-4778

955 W Southern Ave
Ste 122B
Mesa, AZ 85210
Phone (480) 835-4440

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

955 W Southern Ave
Ste 122
Mesa, AZ 85210
Phone (480) 655-0741

2222 E Camelback Rd
Ste 250M
Phoenix, AZ 85016
Phone (602) 840-3501

2222 E Camelback Rd
Ste 250
Phoenix, AZ 85016
Phone (602) 265-2745

85 W Combs Rd
Ste 108
San Tan Valley, AZ 85140
Phone (602) 239-4286

8404 E Shea Blvd
Ste 105
Scottsdale, AZ 85260
Phone (480) 483-0711

10701 W Bell Rd
Sun City, AZ 85351
Phone (623) 876-2020

19052 N R H Johnson Blvd
Sun City West, AZ 85375
Phone (623) 232-0560

500 W Savage St
Wickenburg, AZ 85390
Phone (623) 474-3937

711 W Gardner Dr
Marion, IN 46952
Phone (765) 662-6257

200 N Tillotson Ave
Muncie, IN 47304
Phone (765) 286-8888

Interoperability endpoints

  • Direct secure messaging: michael.scanameomd.p57@direct.ahni.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1205819331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-286-8888",
            "fax_number": "765-747-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-286-8888",
            "fax_number": "765-747-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANAMEO",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01053731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200319090",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.scanameomd.p57@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "200 N Tillotson Ave",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473043988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.