Individual provider Active NPI

Marvetta A. Scott, M.D.

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1508849183
Registry record updated Jun 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P7980 Issued in TX
Practice address
8300 Douglas Ave Ste 800
Dallas, TX 75225-5826
Phone
(817) 381-6813
NPI assigned
Nov 28, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X P7980 TX Primary

Addresses

Primary practice location

8300 Douglas Ave Ste 800
Dallas, TX 75225-5826

Mailing address

8300 Douglas Ave Ste 800
Dallas, TX 75225-5826
Phone (817) 381-6813

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address md@premiermedicalservices.org Direct Premier Medical Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20141203002032 TX Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1850342973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kentucky College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

910 S Pearl Expy
Dallas, TX 75201-6046
Phone (817) 381-6813

Hospital & facility affiliations

  • Patient'S Best Choice Home Healthcare, Inc. Home health agency, Denison, TX, CCN 677841
  • Freedom Hospice Hospice, North Richland Hills, TX, CCN 671527

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Services LLC Single Specialty CurrentSince Jun 8, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Premier Medical Services Single Specialty Past Accepting new patients

Locations

910 S Pearl Expy
Dallas, TX 75201
Phone (202) 594-2835

8300 Douglas Ave
Ste 800
Dallas, TX 75225
Phone (817) 381-6813

Interoperability endpoints

  • Direct secure messaging: marvetta.scott@479318107160580.direct.elationemr.com

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656115200000",
    "number": "1508849183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 DOUGLAS AVE STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255826",
            "telephone_number": "817-381-6813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 DOUGLAS AVE STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255826",
            "telephone_number": "817-381-6813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MARVETTA",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-06-25",
        "certification_date": "2022-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P7980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "md@premiermedicalservices.org",
            "affiliation": "Y",
            "endpointDescription": "Email address",
            "affiliationName": "Premier Medical Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8300 Douglas Ave Ste 800",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752255826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.