Individual provider Active NPI

Scott L Tarlton, MD

  • Family Medicine Physician
  • Fort Wayne, IN
National Provider Identifier
1417974288
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01048968A Issued in IN
Practice address
7950 W Jefferson Blvd
Suite 2121
Fort Wayne, IN 46804-4140
Phone
(260) 407-8000
Fax
(260) 407-8004
NPI assigned
Jul 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0104896 IN
Family Medicine Physician 207Q00000X 01048968A IN Primary

Addresses

Primary practice location

7950 W Jefferson Blvd
Suite 2121
Fort Wayne, IN 46804-4140

Mailing address

250 N Shadeland Ave Ste 200
Indianapolis, IN 46219-4959

Other identifiers 1

IdentifierTypeStateIssuer
200147130MedicaidIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050817000831 IN Practitioner - Family PracticePractitioner - Emergency Medicine 0840220067 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adams County Memorial HospitalGroup PAC ID 0941198253, 85 clinicians

Practice addresses (Care Compare)

1100 Mercer Ave
Decatur, IN 46733-2303
Phone (260) 724-2145

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.61 of 100Reported as group
Quality
76.47
Promoting interoperability
100
Improvement activities
40
Cost
68.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0104896INMDEmergency Medicine Physician
01048968AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Memorial Hospital CurrentSince Nov 4, 2020 Accepting new patients
Adams County Memorial Hospital CurrentSince Nov 4, 2020 Accepting new patients
Emergency Professionals of Indiana, P.C. Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Dec 1, 2020 Accepting new patients
Emergency Physicians of Indiana PC Emergency Medicine Past Accepting new patients
Emergency Medicine of Indiana Emergency Medicine Past Accepting new patients
Emergency Medicine of Indiana LLC Emergency Medicine Past Accepting new patients

Locations

5208 Reliable Pkwy
Chicago, IL 60686

303 S Main St
Bluffton, IN 46714
Phone (260) 824-0800

1100 Mercer Ave
Decatur, IN 46733

3700 Washington Ave
Evansville, IN 47714
Phone (812) 232-0021

7950 W Jefferson Blvd
Ste 2121
Fort Wayne, IN 46804
Phone (260) 435-7937

7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088

2520 E DuPont Rd
Fort Wayne, IN 46825
Phone (219) 407-8000

1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

500 W Votaw St
Portland, IN 47371
Phone (260) 726-6515

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200

Organizations & group practices 7

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1417974288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE STE 200",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 W JEFFERSON BLVD",
            "address_2": "SUITE 2121",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468044140",
            "telephone_number": "260-407-8000",
            "fax_number": "260-407-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARLTON",
        "first_name": "SCOTT",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "0104896",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01048968A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200147130",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.