NPIMap

Individual provider Active NPI

Vincent Sciortino, MD

  • Family Medicine Physician
  • Rockledge, FL
National Provider Identifier
1245290840
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
92275 Issued in FL
Practice address
840 Executive LN Ste 110
Rockledge, FL 32955-3519
Phone
(321) 751-7113
Fax
(321) 751-7114
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
Yes

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
Family Medicine Physician 207Q00000X 92275 FL Primary

Addresses

Primary practice location

840 Executive LN Ste 110
Rockledge, FL 32955-3519

Mailing address

840 Executive LN Ste 110
Rockledge, FL 32955-3519
Phone (321) 751-7113

Other identifiers 2

IdentifierTypeStateIssuer
92275OtherFLME
274186500MedicaidFL

Other names 1

  • Dr. Vincent Sciortino Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060103000024 FL Practitioner - Family Practice 2769404987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

840 Executive LN
Suite 110
Rockledge, FL 32955-3519
Phone (321) 751-7113

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
92275FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VS Primo Health Care P a Family Medicine CurrentSince Dec 12, 2005 Accepting new patients

Locations

840 Executive Ln
Ste 110
Rockledge, FL 32955
Phone (321) 639-3130

7000 Spyglass Ct
Ste 130
Viera, FL 32940
Phone (321) 247-7063

Interoperability endpoints

  • Direct secure messaging: admin@vsprimo.kareodirect.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 9

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245290840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 EXECUTIVE LN STE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553519",
            "telephone_number": "321-751-7113",
            "fax_number": "321-751-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 EXECUTIVE LN STE 110",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329553519",
            "telephone_number": "321-751-7113",
            "fax_number": "321-751-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIORTINO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2023-03-07",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "92275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME",
            "identifier": "92275",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274186500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VINCENT",
            "last_name": "SCIORTINO",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockledge, FL

Sources for this page

Verify at the official NPI Registry.