Individual provider Active NPI

Scott Seminer, MD

  • Gastroenterology Physician
  • Melbourne, FL
National Provider Identifier
1275519548
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME42244 Issued in FL
Practice address
1334 Valentine St
Melbourne, FL 32901-3128
Phone
(321) 676-1870
Fax
(321) 768-2172
NPI assigned
Dec 19, 2005
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME42244 FL Primary

Addresses

Primary practice location

1334 Valentine St
Melbourne, FL 32901-3128

Mailing address

1334 Valentine St
Melbourne, FL 32901-3128
Phone (321) 676-1870

Other identifiers 7

IdentifierTypeStateIssuer
6159097003OtherFLCIGNA
110214510OtherFLRAILROAD MEDICARE
2089203OtherFLAETNA
067552100MedicaidFL
22813OtherFLWELLCARE
05472OtherFLBLUE CROSS BLUE SHIELD
4038928OtherFLAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20130103000321 FL Practitioner - Gastroenterology 1658278494 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Healthcare, Inc. Gastroenterology CurrentSince Jun 6, 1983 Accepting new patients
Omni Healthcare, Inc. Current Accepting new patients

Locations

1334 Valentine St
Melbourne, FL 32901
Phone (321) 676-1870

1344 S Apollo Blvd
Ste 406
Melbourne, FL 32901
Phone (321) 253-4032

95 Bulldog Blvd
Ste 100
Melbourne, FL 32901
Phone (321) 724-1171

95 Bulldog Blvd
Ste 103
Melbourne, FL 32901
Phone (321) 722-1766

95 Bulldog Blvd
Ste 202
Melbourne, FL 32901
Phone (321) 676-1870

95 Bulldog Blvd
Ste 206
Melbourne, FL 32901

845 Century Medical Dr
Titusville, FL 32796
Phone (321) 268-6831

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1275519548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013128",
            "telephone_number": "321-676-1870",
            "fax_number": "321-768-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 VALENTINE ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013128",
            "telephone_number": "321-676-1870",
            "fax_number": "321-768-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMINER",
        "first_name": "SCOTT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME42244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6159097003",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110214510",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2089203",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067552100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "22813",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05472",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4038928",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.