Individual provider Active NPI

Robert Allen Scappa, D.O.

  • Urology Physician
  • Fort Myers, FL
National Provider Identifier
1497778138
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
OS6048 Issued in FL
Practice address
9400 Gladiolus Dr
Suite 30
Fort Myers, FL 33908-6699
Phone
(239) 415-6919
Fax
(239) 415-6927
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X OS6048 FL Primary

Addresses

Primary practice location

9400 Gladiolus Dr
Suite 30
Fort Myers, FL 33908-6699

Mailing address

2234 Colonial Blvd
Managed Care Dept.
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other identifiers 4

IdentifierTypeStateIssuer
P00391837OtherFLRAILROAD MEDICARE
4133129OtherFLAETNA PROVIDER #
8412234OtherFLCIGNA PROVIDER #
80716OtherFLBCBS OF FL PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070514000506 FL Practitioner - Urology 8426155110 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians for Quality Healthcare, Inc.Group PAC ID 1052583002, 7 clinicians
Wellness by Physicians IncGroup PAC ID 4688966260, 10 clinicians

Practice addresses (Care Compare)

6150 Diamond Centre CT
BLDG 100
Fort Myers, FL 33912-4367
Phone (239) 768-6396

773 Hwy 466
Lady Lake, FL 32159-6340
Phone (239) 768-6396

Merit-based Incentive Payment System (MIPS)

Final score
60.29 of 100Reported as group
Quality
35.5
Improvement activities
40
Cost
53.62

Merit-based Incentive Payment System (MIPS)

Final score
64.42 of 100Reported as group
Quality
38.39
Improvement activities
40
Cost
63.53

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians for Quality Healthcare, Inc. CurrentSince May 27, 2017 Accepting new patients
Wellness by Physicians, Inc. CurrentSince Feb 10, 2019 Accepting new patients
Wellness by Physicians, Inc. CurrentSince Feb 10, 2019 Accepting new patients
South Gulf Coast Emergency Physicians PA Past Accepting new patients
Emergency Physicians of Naples PLLC Past Accepting new patients

Locations

24870 S Tamiami Trl
Ste 3
Bonita Springs, FL 34134
Phone (239) 676-3663

6150 Diamond Centre Ct
Bldg 100
Fort Myers, FL 33912
Phone (239) 768-6896

6150 Diamond Centre Ct
#100
Fort Myers, FL 33912

773 Highway 466
Lady Lake, FL 32159
Phone (321) 274-1864

5668 Strand Ct
Naples, FL 34110
Phone (239) 590-3883

3417 Tamiami Trl
Ste A
Pt Charlotte, FL 33952
Phone (941) 344-9249

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246406400000",
    "number": "1497778138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "MANAGED CARE DEPT.",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 GLADIOLUS DR",
            "address_2": "SUITE 30",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339086699",
            "telephone_number": "239-415-6919",
            "fax_number": "239-415-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAPPA",
        "first_name": "ROBERT",
        "middle_name": "ALLEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2009-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "OS6048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00391837",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "4133129",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "8412234",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL PROVIDER #",
            "identifier": "80716",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.