Individual provider Active NPI

Courtney Scamardo, PA-C

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1356720130
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09650 Issued in TX
Practice address
2700 W Anderson LN Ste 403
Austin, TX 78757-1153
Phone
(512) 786-3498
Fax
(512) 243-7236
NPI assigned
May 26, 2015
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09650 TX Primary

Addresses

Primary practice location

2700 W Anderson LN Ste 403
Austin, TX 78757-1153

Mailing address

4919 Memorial Hwy Ste 150
Tampa, FL 33634-7516
Phone (813) 333-1512

Other practice location 1

1500 W 34th St
Austin, TX 78703-1433
Phone (512) 485-7700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cscamardo.user@dmp.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151118001520 TX Practitioner - Physician Assistant 3274833504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Specialists of San Antonio, PLLCGroup PAC ID 5193043149, 10 clinicians
Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

2700 W Anderson LN
403 Farady Dermatology Associates
Austin, TX 78757-1153
Phone (512) 786-3498

3807 Spicewood Springs Rd
Suite 200
Austin, TX 78759-8966
Phone (512) 476-9195

6618 Sitio del Rio Blvd
Suite D101
Austin, TX 78730-1148
Phone (512) 478-3376

9701 Brodie LN
Suite 106
Austin, TX 78748-6283
Phone (512) 280-3939

Merit-based Incentive Payment System (MIPS)

Final score
93.46 of 100Reported as group
Quality
90.39
Promoting interoperability
100
Improvement activities
40
Cost
87.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Katherine Farady M.D. P.a. PastSince Sep 5, 2023 Accepting new patients
Colby C Evans PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cscamardo@dmp.emadirect.md

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, 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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1356720130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 MEMORIAL HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347516",
            "telephone_number": "813-333-1512",
            "fax_number": "813-333-1561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W ANDERSON LN STE 403",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787571153",
            "telephone_number": "512-786-3498",
            "fax_number": "512-243-7236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 W 34th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787031433",
            "country_code": "US",
            "telephone_number": "512-485-7700",
            "fax_number": "512-485-7702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCAMARDO",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cscamardo.user@dmp.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2700 W Anderson Ln Ste 403",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787571153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.