Individual provider Active NPI

Robert A Scarlatelli, M.D.

  • Cardiovascular Disease Physician
  • Plymouth, MA
National Provider Identifier
1205876737
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
71928 Issued in MA
Practice address
30 Resnik Rd
Plymouth, MA 02360
Phone
(508) 746-2900
Fax
(508) 746-4208
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 71928 MA Primary

Addresses

Primary practice location

30 Resnik Rd
Plymouth, MA 02360

Mailing address

30 Resnik Road
Plymouth, MA 02360
Phone (508) 746-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050427001094 MA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527007756 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Boston University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan Physician Associates IncGroup PAC ID 1254321086, 166 clinicians

Practice addresses (Care Compare)

275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000

46 Obery St
Plymouth, MA 02360-2237
Phone (508) 210-5920

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Oct 1, 2015 Accepting new patients

Locations

32 Resnik Rd
Ste 2
Plymouth, MA 02360
Phone (508) 732-9269

30 Resnik Rd
Lowr
Plymouth, MA 02360
Phone (508) 746-2900

46 Obery St
Plymouth, MA 02360
Phone (508) 210-5920

275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000

30 Resnik Rd
Plymouth, MA 02360
Phone (508) 746-2900

Interoperability endpoints

  • Direct secure messaging: rscarlatelli254941@direct.bilh.masshiway.net

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.

Hospital & facility affiliations 2

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296777600000",
    "number": "1205876737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 RESNIK ROAD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-746-2900",
            "fax_number": "508-746-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 RESNIK RD",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "02360",
            "telephone_number": "508-746-2900",
            "fax_number": "508-746-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARLATELLI",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MA",
            "license": "71928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.