NPIMap

Individual provider Active NPI

Andrew Thomas Scrima, MD

  • Diagnostic Radiology Physician
  • Waukesha, WI
National Provider Identifier
1508361932
Registry record updated Jul 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
73788-20 Issued in WI
Practice address
127 Garfield Ave Apt C
Waukesha, WI 53186-6282
Phone
(414) 469-4712
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 73788-20 WI Primary

Addresses

Primary practice location

127 Garfield Ave Apt C
Waukesha, WI 53186-6282

Mailing address

127 Garfield Ave Apt C
Waukesha, WI 53186-6282
Phone (414) 469-4712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220817003680 WI Practitioner - Diagnostic Radiology 4981020773 Reassigns benefits to 5 organizations
I20240814000935 SC Practitioner - Diagnostic Radiology 4981020773 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Radiology Associates LLCGroup PAC ID 1658350764, 63 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

Waukesha, WI 53186
Phone (800) 841-4236

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

809 82ND Pkwy
Myrtle Beach, SC 29572-4607
Phone (843) 692-1916

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 27, 2022 Accepting new patients
Richland Hospital CurrentSince Jul 1, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 27, 2022 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Richland Hospital CurrentSince Jul 1, 2023 Accepting new patients
Fort Healthcare, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Musc Community Physicians Diagnostic Radiology Current Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jul 2, 2023 Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2023 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 12

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1508361932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 GARFIELD AVE APT C",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866282",
            "telephone_number": "414-469-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 GARFIELD AVE APT C",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866282",
            "telephone_number": "414-469-4712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCRIMA",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "73788-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.