Individual provider Active NPI

Scott L Colello, DC

  • Chiropractor
  • Plymouth, MA
National Provider Identifier
1225517733
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3622 Issued in MA
Practice address
10 Cordage Park Cir Ste 227
Plymouth, MA 02360-7318
Phone
(508) 830-6991
NPI assigned
Aug 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3622 MA Primary

Addresses

Primary practice location

10 Cordage Park Cir Ste 227
Plymouth, MA 02360-7318

Mailing address

10 Cordage Park Cir Ste 227
Plymouth, MA 02360-7318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180925001419 MA Practitioner - Chiropractic 0143571562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jordan Physician Associates Inc 166 clinicians

Practice addresses (Care Compare)

10 Cordage Park Cir
Suite 227
Plymouth, MA 02360-7318
Phone (508) 830-6991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3622MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Jordan Physician Associates, Inc. CurrentSince Sep 1, 2018 Accepting new patients
Jordan Physician Associates, Inc. CurrentSince Sep 1, 2018 Accepting new patients

Locations

10 Cordage Park Cir
Ste 225
Plymouth, MA 02360
Phone (508) 830-6991

10 Cordage Park Cir
Ste 227
Plymouth, MA 02360
Phone (508) 746-1259

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

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

Interoperability endpoints

  • Direct secure messaging: scolello252783@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.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1225517733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CORDAGE PARK CIR STE 227",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CORDAGE PARK CIR STE 227",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607318",
            "telephone_number": "508-830-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLELLO",
        "first_name": "SCOTT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.