Active NPI
Scott Boerth, M.D.
- Internal Medicine Physician
- Blacksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101226430
- Practice address
- 3698 S Main St
Blacksburg, VA 24060-7015 - Phone
- (540) 951-6070
- Fax
- (540) 951-6071
- NPI assigned
- Sep 30, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101226430 | VA | Primary |
Addresses
Primary practice location
3698 S Main St
Blacksburg, VA 24060-7015
Mailing address
2000 Health Park Dr FL HP2
Brentwood, TN 37027-4692
Phone (615) 373-7600
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366439721 | Medicaid | VA | |
| 005846129 | Medicaid | VA | |
| 010287910 | Medicaid | VA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SCOTT.BOERTH@hca6.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070323000274 | VA | Practitioner - Internal Medicine | 7315041795 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of South Alabama College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lewis Gale Physicians LLC
Practice addresses (Care Compare)
133 Bostic LN
Pembroke, VA 24136-3678
Phone (540) 808-8913
Hospital & facility affiliations
- Warm Hearth at Home Inc
- Lewisgale Hospital Montgomery
- Lewisgale Medical Center
- Princeton Community Hospital Assn Inc
- The Wybe and Marietje Kroontje Health Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226430 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis Gale Physicians LLC | Internal Medicine | Current | Accepting new patients |
| Southeastern Physician Services PC | Internal Medicine | Past | Accepting new patients |
| Montgomery Hospitalists LLC | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
2000 Health Park Dr
Fl HP2
Brentwood, TN 37027
3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111
1645 N Main St
Blacksburg, VA 24060
Phone (540) 552-1246
3698 S Main St
Blacksburg, VA 24060
Phone (540) 951-6070
133 Bostic Ln
Pembroke, VA 24136
Phone (540) 921-4343
1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400
1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400
Interoperability endpoints
- scott.boerth@hca6.eclinicaldirectplus.com
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.
-
- Internal Medicine Physician
- Salem, VA
- NPI 1902977705
Internal Medicine, VA
-
- Hospitalist Physician
- Blacksburg, VA
- NPI 1134290547
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Nursing Facility/Intermediate Care Facility
- Blacksburg, VA
- NPI 1164674206
Nursing home
-
- Home Health Agency
- Christiansburg, VA
- NPI 1902219264
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1366439721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HEALTH PARK DR FL HP2",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274692",
"telephone_number": "615-373-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3698 S MAIN ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607015",
"telephone_number": "540-951-6070",
"fax_number": "540-951-6071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOERTH",
"first_name": "SCOTT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2022-02-08",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101226430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366439721",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005846129",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010287910",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SCOTT.BOERTH@hca6.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "3698 S Main St",
"city": "Blacksburg",
"state": "VA",
"country_code": "US",
"postal_code": "240607015",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Blacksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.