Individual provider Active NPI

Christopher M Scipione

  • Emergency Medicine Physician
  • Paoli, IN
National Provider Identifier
1205893484
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01067558A Issued in IN
Practice address
642 W Hospital Rd
Paoli, IN 47454-9672
Phone
(812) 723-7451
Fax
(812) 723-7508
NPI assigned
Apr 29, 2006
Last updated
Dec 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01067558A IN Primary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 4301076539 MI

Addresses

Primary practice location

642 W Hospital Rd
Paoli, IN 47454-9672

Mailing address

PO Box 1329
Bloomington, IN 47402-1329
Phone (812) 353-3087

Other identifiers 5

IdentifierTypeStateIssuer
4931837MedicaidMI
4931828MedicaidMI
CS076539OtherMIBLUE CROSS BLUE SHIELD
200967600MedicaidIN
4931846MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100121000106 IN Practitioner - Emergency Medicine 5597765008 Reassigns benefits to 2 organizations
I20170314000665 FL Practitioner - Emergency Medicine 5597765008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professionals of Indiana PCGroup PAC ID 4183604150, 118 clinicians

Practice addresses (Care Compare)

85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (219) 983-8300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067558AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Stat Care PC Emergency Medical Services Past Accepting new patients
Statcare PC Emergency Medicine Past Accepting new patients
Obscare PC Emergency Medicine Past Accepting new patients
Deaconess Memorial Medical Center Inc Past Accepting new patients
Lake Country Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

3630 Willowcreek Rd
Portage, IN 46368
Phone (219) 364-3000

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

Organizations & group practices 8

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": "1146268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1205893484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474021329",
            "telephone_number": "812-353-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549672",
            "telephone_number": "812-723-7451",
            "fax_number": "812-723-7508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIPIONE",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-29",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01067558A",
            "primary": true
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "MI",
            "license": "4301076539",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4931837",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4931828",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "CS076539",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200967600",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4931846",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, IN

Sources for this page

Verify at the official NPI Registry.