Organization Active NPI

Scott Medinvestment Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Gary, IN
National Provider Identifier
1487813580
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
07000990A Issued in IN
Legal business name
SCOTT MEDINVESTMENT GROUP, LLC
Practice address
720 W 5TH Ave
Gary, IN 46402-1808
Phone
(609) 440-8714
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Dr. Clinton Herwin Scott Jr., DPMNPI 1750360137
Title
Podiatrist
Phone
(609) 440-8714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X 07000990A IN Primary

Addresses

Primary practice location

720 W 5TH Ave
Gary, IN 46402-1808

Mailing address

3903 Portage Rd
Suite C #161
South Bend, IN 46628-6191
Phone (609) 440-8714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101130000289 IN Part B Supplier - Clinic/Group Practice 2961698196 Receives reassigned benefits from 1 practitioner
Practice locations: Gary, IN

National Provider Directory

National Provider Directory

Locations

3903 Portage Rd
Ste C
South Bend, IN 46628
Phone (609) 440-8714

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1487813580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3903 PORTAGE RD",
            "address_2": "SUITE C #161",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466286191",
            "telephone_number": "609-440-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W 5TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464021808",
            "telephone_number": "609-440-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT MEDINVESTMENT GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "HERWIN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "609-440-8714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07000990A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gary, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.