Individual provider Active NPI

Michael Robert Scoma, M.D.

  • Infectious Disease Physician
  • Mineola, NY
National Provider Identifier
1215167390
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
257035 Issued in NY
Practice address
173 Mineola Blvd
Suite 401a
Mineola, NY 11501-2528
Phone
(516) 746-2212
Fax
(516) 746-3231
NPI assigned
Jul 22, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 257035 NY Primary

Addresses

Primary practice location

173 Mineola Blvd
Suite 401a
Mineola, NY 11501-2528

Mailing address

173 Mineola Blvd
Suite 401a
Mineola, NY 11501-2528
Phone (516) 746-2212

Other practice location 1

880 5th Ave
New York, NY 10021-4951
Phone (212) 756-9999

Other identifiers 1

IdentifierTypeStateIssuer
03281761MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100908000445 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 0547384927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

173 Mineola Blvd
Suite 403
Mineola, NY 11501-2555

300 Old Country Rd
Suite 211
Mineola, NY 11501-4112
Phone (516) 746-2212

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214

Merit-based Incentive Payment System (MIPS)

Final score
73.74 of 100Reported as individual
Quality
100
Improvement activities
0
Cost
85.3

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: mscoma307567@nyumc.direct-ci.com
  • Direct secure messaging: mscoma364739@northwell.direct-ci.com

Organizations & group practices 1

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 7

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": "1248220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1215167390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "address_2": "SUITE 401A",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012528",
            "telephone_number": "516-746-2212",
            "fax_number": "516-746-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD",
            "address_2": "SUITE 401A",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012528",
            "telephone_number": "516-746-2212",
            "fax_number": "516-746-3231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "880 5th Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100214951",
            "country_code": "US",
            "telephone_number": "212-756-9999",
            "fax_number": "212-933-1317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOMA",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-22",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "257035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03281761",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.