Individual provider Active NPI

Andrea Cuomo Scholer, MD

  • Pediatrics Physician
  • High Point, NC
National Provider Identifier
1225033376
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200201170 Issued in NC
Practice address
400 E Commerce Ave
High Point, NC 27260-5221
Phone
(336) 884-0224
Fax
(336) 884-3471
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 200201170 NC Primary

Addresses

Primary practice location

400 E Commerce Ave
High Point, NC 27260-5221

Mailing address

1046 E Wendover Ave
Greensboro, NC 27405-6712
Phone (336) 272-1050

Other identifiers 2

IdentifierTypeStateIssuer
200201170OtherNCNC LICENSE #
8913718MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20041008000412 NC Practitioner - Pediatric Medicine 8022077619 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Adult and Pediatric Medicine, Inc. CurrentSince Nov 18, 2024 Accepting new patients
Triad Adult and Pediatric Medicine, Inc. CurrentSince Nov 18, 2024 Accepting new patients

Locations

1002 S Eugene St
Greensboro, NC 27406
Phone (336) 271-5999

1046 E Wendover Ave
Greensboro, NC 27405
Phone (336) 272-1050

606 N Elm St
High Point, NC 27262
Phone (336) 884-0224

400 E Commerce Ave
High Point, NC 27260
Phone (336) 884-0224

Interoperability endpoints

  • Direct secure messaging: ascholer613175@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1225033376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1046 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056712",
            "telephone_number": "336-272-1050",
            "fax_number": "336-272-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E COMMERCE AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605221",
            "telephone_number": "336-884-0224",
            "fax_number": "336-884-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLER",
        "first_name": "ANDREA",
        "middle_name": "CUOMO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200201170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE #",
            "identifier": "200201170",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913718",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.