Individual provider Active NPI

Scott N Myers, MD

  • Pediatric Hematology & Oncology Physician
  • Anderson, IN
National Provider Identifier
1447374293
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
License
01076823A Issued in IN
Practice address
2015 Jackson St
Anderson, IN 46016
Phone
(765) 649-2511
NPI assigned
Mar 19, 2007
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01076823A IN
Pediatrics Physician 208000000X 036113293 IL
Pediatric Hematology & Oncology Physician 2080P0207X 036113293 IL
Pediatric Hematology & Oncology Physician 2080P0207X 01076823A IN Primary
Hospitalist Physician 208M00000X 01076823A IN

Addresses

Primary practice location

2015 Jackson St
Anderson, IN 46016

Mailing address

2015 Jackson St
Anderson, IN 46016-4337

Other practice location 1

UI HEALTH - Pediatrics
1801 W. Taylor Street, Suite 2E
Chicago, IL 60612
Phone (312) 996-7416

Other identifiers 1

IdentifierTypeStateIssuer
201181810MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scott.myers.1@7598.direct.athenahealth.com St. Vincent Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160804001851 IN Practitioner - Hematology/OncologyPractitioner - Pediatric MedicinePractitioner - Hospitalist 5395820005 Reassigns benefits to 2 organizations
I20210324001950 IL Practitioner - Pediatric MedicinePractitioner - Hematology/Oncology 5395820005 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036113293ILMDPediatrics Physician
01076823AINMDPediatric Hematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Pediatrics CurrentSince Jul 1, 2018 Accepting new patients
St Vincent Physician Services Hospital and Health Care Center CurrentSince Mar 31, 2024 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
St Vincent Physician Services Hospital and Health Care Center Pediatrics CurrentSince Mar 31, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Jul 1, 2018 Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

15 W 19th St
Anderson, IN 46016
Phone (765) 646-3180

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

2020 Meridian St
Ste 320
Anderson, IN 46016
Phone (765) 646-8727

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

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

250 W 96th St
Ste 520
Indianapolis, IN 46260
Phone (317) 583-3211

8240 Naab Rd
Ste 155
Indianapolis, IN 46260
Phone (317) 338-7760

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

Interoperability endpoints

  • Direct secure messaging: scott.myers.1@7598.direct.athenahealth.com
  • Direct secure messaging: smyers104318@uihealth.direct-ci.com

Organizations & group practices 5

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1447374293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 JACKSON ST",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "46016",
            "telephone_number": "765-649-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UI HEALTH - Pediatrics",
            "address_2": "1801 W. Taylor Street, Suite 2E",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "312-996-7416",
            "fax_number": "312-413-8778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "SCOTT",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01076823A",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036113293",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "IL",
            "license": "036113293",
            "primary": false
        },
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": "IN",
            "license": "01076823A",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IN",
            "license": "01076823A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201181810",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scott.myers.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St. Vincent Medical Group, Inc.",
            "address_1": "2015 Jackson St",
            "city": "Anderson",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

Verify at the official NPI Registry.