Active NPI
Kenneth G Scott, MD
- Diagnostic Radiology Physician
- Shelbyville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01049416
- Practice address
- 2451 Intelliplex Dr
Shelbyville, IN 46176-8580 - Phone
- (317) 392-3211
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01049416 | IN | Primary |
Addresses
Primary practice location
2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Mailing address
PO Box 58
Lima, OH 45802-0058
Phone (866) 942-0799
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200386650A | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kscott1275647646@direct.d4d.ihie.us |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2451 Intelliplex Dr
Shelbyville, IN 46176-8580
Phone (317) 392-3211
7788 E 550
Needham, IN 46162-9746
Phone (903) 663-4800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01049416 | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Current | Accepting new patients | |
| Early Detection Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
790 Creekview Dr
Columbus, IN 47201
Phone (812) 373-2113
2400 17th St
Columbus, IN 47201
Phone (812) 373-3025
2502 25th St
Columbus, IN 47201
Phone (812) 372-8883
10995 Allisonville Rd
#100
Fishers, IN 46038
Phone (317) 773-0008
10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928
7340 Shadeland Sta
Ste 200
Indianapolis, IN 46256
7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357
9998 Crosspoint Blvd
Ste 200
Indianapolis, IN 46256
2451 Intelliplex Dr
Shelbyville, IN 46176
Phone (317) 392-3211
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 and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Shelbyville, IN
- NPI 1144351347
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Diagnostic Radiology Physician
- Lima, OH
- NPI 1972664324
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Greensburg, IN
- NPI 1952300477
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1376214981
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1386749893
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
- Critical Access Hospital
- Rushville, IN
- NPI 1497726020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1275647646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58",
"city": "LIMA",
"state": "OH",
"postal_code": "458020058",
"telephone_number": "866-942-0799",
"fax_number": "419-223-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 INTELLIPLEX DR",
"city": "SHELBYVILLE",
"state": "IN",
"postal_code": "461768580",
"telephone_number": "317-392-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "KENNETH",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01049416",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200386650A",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kscott1275647646@direct.d4d.ihie.us",
"affiliation": "N",
"address_1": "2451 Intelliplex Dr",
"city": "Shelbyville",
"state": "IN",
"country_code": "US",
"postal_code": "461768580",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shelbyville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.