Individual provider Active NPI

Stephen M Scionti, MD

  • Urology Physician
  • Lakewood Ranch, FL
National Provider Identifier
1255405809
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME119376 Issued in FL
Practice address
6600 University Pkwy Ste 203
Lakewood Ranch, FL 34240-9041
Phone
(941) 702-5595
Fax
(888) 492-0296
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 249866 MA
Urology Physician 208800000X 15312 SC
Urology Physician 208800000X ME119376 FL Primary

Addresses

Primary practice location

6600 University Pkwy Ste 203
Lakewood Ranch, FL 34240-9041

Mailing address

6600 University Pkwy Ste 203
Lakewood Ranch, FL 34240-9041
Phone (941) 702-5595

Other identifiers 3

IdentifierTypeStateIssuer
14V0FOtherFLBCBS FL
571087172OtherSCBLUE CROSS
571087172OtherSCAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 12, 2021 through Jan 12, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15312SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
New York University Past Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Coastal Carolina Urology Group, LLC Urology PastSince Jan 1, 2000 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drscionti@spcl-fl1.direct.office.nextgen.com

Organizations & group practices 4

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1255405809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 UNIVERSITY PKWY STE 203",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342409041",
            "telephone_number": "941-702-5595",
            "fax_number": "888-492-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 UNIVERSITY PKWY STE 203",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342409041",
            "telephone_number": "941-702-5595",
            "fax_number": "888-492-0296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIONTI",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MA",
            "license": "249866",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "15312",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME119376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "14V0F",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "571087172",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "571087172",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.