Active NPI
Scott Loring Ackley, MD
- Radiation Oncology Physician
- Terre Haute, IN
National Provider Identifier
1396748992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 01042399A
- Practice address
- 1606 N 7TH St
Terre Haute, IN 47804-2706 - Phone
- (812) 238-7504
- Fax
- (812) 238-7151
- NPI assigned
- May 27, 2005
- Sex
- Male
- Sole proprietor
- No
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.
-
- Radiation Oncology Physician
- Indianapolis, IN
- NPI 1659491132
IN, Radiation Oncology
-
- General Acute Care Hospital
- Terre Haute, IN
- NPI 1619975331
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cancer Care Group PC
Practice addresses (Care Compare)
Indianapolis, IN 46278
Phone (317) 715-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100702000003 | IN | Practitioner - Radiation Oncology | 3577467513 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01042399A | IN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Hospital Inc. | Current | Accepting new patients | |
| Cancer Care Group, P.C. | Radiation Oncology | Current | Accepting new patients |
| Cancer Care Group, P.C. | Radiation Oncology | Past | Accepting new patients |
Locations
6100 W 96th St
Ste 125
Indianapolis, IN 46278
Phone (317) 715-1803
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Interoperability endpoints
- hxsla@unionhealth.cernerdirect.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 01042399A | IN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1606 N 7TH St
Terre Haute, IN 47804-2706
Mailing address
6100 W 96TH St
Suite 125
Indianapolis, IN 46278-6005
Phone (317) 715-1800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 12, 2008.
{
"created_epoch": "1117152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202774400000",
"number": "1396748992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 W 96TH ST",
"address_2": "SUITE 125",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462786005",
"telephone_number": "317-715-1800",
"fax_number": "317-715-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 N 7TH ST",
"city": "TERRE HAUTE",
"state": "IN",
"postal_code": "478042706",
"telephone_number": "812-238-7504",
"fax_number": "812-238-7151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKLEY",
"first_name": "SCOTT",
"middle_name": "LORING",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-27",
"last_updated": "2008-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01042399A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Terre Haute, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2008; 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.