NPIMap

Individual provider Active NPI

Andrea Rae Scott, D.O.

  • Infectious Disease Physician
  • Oklahoma City, OK
National Provider Identifier
1346406899
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
5509 Issued in OK
Practice address
4221 S Western Ave
Ste 4010
Oklahoma City, OK 73109-3447
Phone
(405) 644-6464
Fax
(405) 644-6465
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125-054055 IL
Infectious Disease Physician 207RI0200X 5509 OK Primary

Addresses

Primary practice location

4221 S Western Ave
Ste 4010
Oklahoma City, OK 73109-3447

Mailing address

4221 S Western Ave
Ste 4010
Oklahoma City, OK 73109-3447
Phone (405) 644-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141006000272 OK Practitioner - Infectious Disease 1557530862 Reassigns benefits to 2 organizations
I20160620000638 TX Practitioner - Infectious Disease 1557530862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Kansas City University of Physicians and Surgeons, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Idcokc PLLCGroup PAC ID 0749631745, 4 clinicians

Practice addresses (Care Compare)

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone (580) 436-3980

4221 S Western Ave
Suite 4010
Oklahoma City, OK 73109-3492
Phone (405) 644-6464

Hospital & facility affiliations

  • Integris Home Care Oklahoma City Home health agency, Oklahoma City, OK, CCN 377051
  • Phoenix Home Health Agency, LLC Home health agency, Spencer, OK, CCN 377717
  • Integris Southwest Medical Center Hospital, Oklahoma City, OK, CCN 370106
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Norman Regional Hospital, Norman, OK, CCN 370008
  • Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
  • Stillwater Medical Center Hospital, Stillwater, OK, CCN 370049

Merit-based Incentive Payment System (MIPS)

Final score
82.74 of 100Reported as group
Quality
68.62
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125-054055ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chickasaw Nation Division of Health Current Accepting new patients
Chickasaw Nation Division of Health CurrentSince May 27, 2016 Accepting new patients
Idcokc PLLC Infectious Disease CurrentSince Oct 1, 2023 Accepting new patients
Chickasaw Nation Division of Health CurrentSince May 27, 2016 Accepting new patients
David H Chansolme MD PC Infectious Disease CurrentSince Aug 26, 2014 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

1921 Stonecipher Dr
Ada, OK 74820
Phone (580) 421-4570

2510 Chickasaw Blvd
Ardmore, OK 73401
Phone (580) 226-8181

4221 S Western Ave
Ste 4010
Oklahoma City, OK 73109
Phone (405) 631-3435

5500 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 644-6464

1438 Hardcastle Blvd
Purcell, OK 73080
Phone (405) 527-4700

817 E 6th St
Tishomingo, OK 73460
Phone (580) 371-2392

Interoperability endpoints

  • Direct secure messaging: ascott28201@direct.chickasawnationhealth.net
  • Direct secure messaging: norris.andrea.004.0360010@dhc.meditab.direct-ci.com

Organizations & group practices 6

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 12

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1346406899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE",
            "address_2": "STE 4010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093447",
            "telephone_number": "405-644-6464",
            "fax_number": "405-644-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE",
            "address_2": "STE 4010",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093447",
            "telephone_number": "405-644-6464",
            "fax_number": "405-644-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "ANDREA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-054055",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OK",
            "license": "5509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.