Individual provider Active NPI

Steven Anthony Scalco, M.D.

  • Otolaryngology Physician
  • Metairie, LA
National Provider Identifier
1396740791
Registry record updated Aug 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
017753 Issued in LA
Practice address
3812 Ridgelake Dr
Ste 2B
Metairie, LA 70002-7233
Phone
(504) 833-0250
Fax
(504) 833-4596
NPI assigned
Jun 14, 2005
Reactivated
Apr 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 017753 LA Primary

Addresses

Primary practice location

3812 Ridgelake Dr
Ste 2B
Metairie, LA 70002-7233

Mailing address

3812 Ridgelake Dr
Ste 2B
Metairie, LA 70002-7233
Phone (504) 833-0250

Other identifiers 1

IdentifierTypeStateIssuer
1906921MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120306000324 LA Practitioner - Otolaryngology 0840473146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Louisiana State University School of Medicine in New Orleans, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3812 Ridgelake Dr
Suite 2B
Metairie, LA 70002-7233
Phone (504) 833-0250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
017753LAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steven a. Scalco, M.D., a.P.M.C Otolaryngology CurrentSince Jul 1, 1989 Accepting new patients

Locations

3812 Ridgelake Dr
Ste 2B
Metairie, LA 70002
Phone (504) 833-0250

Organizations & group practices 1

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 1

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1396740791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 RIDGELAKE DR",
            "address_2": "STE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027233",
            "telephone_number": "504-833-0250",
            "fax_number": "504-833-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 RIDGELAKE DR",
            "address_2": "STE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700027233",
            "telephone_number": "504-833-0250",
            "fax_number": "504-833-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALCO",
        "first_name": "STEVEN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2010-08-18",
        "deactivation_date": "2006-03-31",
        "reactivation_date": "2006-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "LA",
            "license": "017753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1906921",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.