NPIMap

Individual provider Active NPI

David A Scalzo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Duryea, PA
National Provider Identifier
1477508000
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004196L Issued in PA
Practice address
203 Foote Ave
Duryea, PA 18642-1408
Phone
(570) 457-4560
Fax
(570) 457-4562
NPI assigned
May 23, 2006
Last updated
Jan 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC004196L PA Primary

Addresses

Primary practice location

203 Foote Ave
Duryea, PA 18642-1408

Mailing address

203 Foote Ave
Duryea, PA 18642-1408
Phone (570) 457-4560

Other identifiers 3

IdentifierTypeStateIssuer
43293OtherPAGEISINGER HEALTH PLAN
038773OtherPAPENNSYLVANIA BLUE SHIELD
0017229870004MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000683 PA Practitioner - Podiatry 7416968292 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bangor Podiatry LLCGroup PAC ID 5496766271, 5 clinicians
David a Scalzo D.P.M.,P.C.Group PAC ID 9436122652, 3 clinicians

Practice addresses (Care Compare)

129 N 11TH St
Bangor, PA 18013-1603
Phone (610) 588-6621

203 Foote Ave
Duryea, PA 18642-1408
Phone (570) 457-4560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of skin lesions17
Removal of nail tissue3138
Removal or shaving of skin growth1741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004196LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bangor Podiatry LLC Foot & Ankle Surgery CurrentSince Apr 15, 2006 Accepting new patients
David a Scalzo D.P.M.,P.C. Foot & Ankle Surgery CurrentSince Aug 25, 2003 Accepting new patients
Bangor Podiatry LLC Foot & Ankle Surgery CurrentSince Apr 5, 2005 Accepting new patients
Twin Rivers Podiatry P a Foot & Ankle Surgery PastSince Sep 1, 1997 Accepting new patients

Locations

129 N 11th St
Bangor, PA 18013
Phone (610) 588-6621

203 Foote Ave
Duryea, PA 18642
Phone (570) 457-4560

Interoperability endpoints

  • Direct secure messaging: davida.scalzo@davidascalzodpm.chartmakerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 48

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 48

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295481600000",
    "number": "1477508000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 FOOTE AVE",
            "city": "DURYEA",
            "state": "PA",
            "postal_code": "186421408",
            "telephone_number": "570-457-4560",
            "fax_number": "570-457-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 FOOTE AVE",
            "city": "DURYEA",
            "state": "PA",
            "postal_code": "186421408",
            "telephone_number": "570-457-4560",
            "fax_number": "570-457-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALZO",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2011-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004196L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "43293",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSYLVANIA BLUE SHIELD",
            "identifier": "038773",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017229870004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duryea, PA

Sources for this page

Verify at the official NPI Registry.