Individual provider Active NPI

Scott E Altschuler, MD

  • Gastroenterology Physician
  • Port St Lucie, FL
National Provider Identifier
1346453610
Registry record updated Aug 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME102117 Issued in FL
Practice address
1701 SE Hillmoor Dr Ste 4
Port St Lucie, FL 34952-7552
Phone
(727) 777-2575
Fax
(727) 777-2587
NPI assigned
May 7, 2007
Last updated
Aug 17, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2017

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 ME102117 FL Primary

Addresses

Primary practice location

1701 SE Hillmoor Dr Ste 4
Port St Lucie, FL 34952-7552

Mailing address

1701 SE Hillmoor Dr Ste 4
Port St Lucie, FL 34952-7552
Phone (772) 777-2575

Other identifiers 2

IdentifierTypeStateIssuer
53644OtherFLBLUE CROSS BLUE SHIELD
000410100MedicaidFL

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
I20080906000100 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 8123194685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Boston University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Gi LLCGroup PAC ID 4789956681, 3 clinicians

Practice addresses (Care Compare)

1701 SE Hillmoor Dr
Port Saint Lucie, FL 34952-7552
Phone (772) 777-2575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy199
Upper gastrointestinal (GI) endoscopy for acid reflux155

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Gi LLC Gastroenterology CurrentSince Jun 26, 2017 Accepting new patients
St Lucie Medical Specialists LLC Gastroenterology Past Accepting new patients

Locations

1701 SE Hillmoor Dr
Ste 4
Port St Lucie, FL 34952
Phone (772) 335-5656

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFDABD/Endpoint/DFDABD

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502928000000",
    "number": "1346453610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 4",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-777-2575",
            "fax_number": "772-777-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR STE 4",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "727-777-2575",
            "fax_number": "727-777-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTSCHULER",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2017-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME102117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "53644",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000410100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

Verify at the official NPI Registry.