Individual provider Active NPI

Scott David McMenemy, M.D.

  • Dermatology Physician
  • Sugar Land, TX
National Provider Identifier
1528067618
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G8275 Issued in TX
Practice address
3425 Highway 6
Suite 105
Sugar Land, TX 77478-4512
Phone
(281) 980-3376
Fax
(281) 265-5548
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X G8275 TX Primary

Addresses

Primary practice location

3425 Highway 6
Suite 105
Sugar Land, TX 77478-4512

Mailing address

3425 Highway 6
Suite 105
Sugar Land, TX 77478-4512
Phone (281) 980-3376

Other identifiers 2

IdentifierTypeStateIssuer
00A94QOtherTXBLUE CROSS BLUE SHIELD
P00038236OtherTXRAIL ROAD MEDICARE

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
I20040715000365 TX Practitioner - Dermatology 7719966746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at Houston, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3425 Hwy 6 S
Suite 105
Sugar Land, TX 77478-4439
Phone (281) 980-3376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions3640
Removal or shaving of skin growth1-10
Skin biopsy1319

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott McMenemy MD PA Dermatology CurrentSince Jan 1, 2002 Accepting new patients

Locations

3425 Highway 6
Ste 105
Sugar Land, TX 77478
Phone (281) 980-3376

Interoperability endpoints

  • Direct secure messaging: mmcmeney@direct.uspi.com

Organizations & group practices 1

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528067618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 HIGHWAY 6",
            "address_2": "SUITE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784512",
            "telephone_number": "281-980-3376",
            "fax_number": "281-265-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 HIGHWAY 6",
            "address_2": "SUITE 105",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784512",
            "telephone_number": "281-980-3376",
            "fax_number": "281-265-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENEMY",
        "first_name": "SCOTT",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "G8275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00A94Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00038236",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.