Individual provider Active NPI

Scott Lesle Willis, M.D.

  • Interventional Cardiology Physician
  • New Haven, CT
National Provider Identifier
1548306640
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
2015-01978 Issued in NC
Practice address
20 York St
Ynhh Dept of Cardiology
New Haven, CT 06510-3220
Phone
(203) 688-4242
NPI assigned
Jan 29, 2007
Last updated
Jan 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101239745 VA
Cardiovascular Disease Physician 207RC0000X 2015-01978 NC
Cardiovascular Disease Physician 207RC0000X 0101239745 VA
Interventional Cardiology Physician 207RI0011X 0101239745 VA
Interventional Cardiology Physician 207RI0011X 2015-01978 NC Primary

Addresses

Primary practice location

20 York St
Ynhh Dept of Cardiology
New Haven, CT 06510-3220

Mailing address

PO Box 751177
Charlotte, NC 28275-1177
Phone (828) 274-6000

Other practice location 1

5 Vanderbilt Park Dr
Asheville, NC 28803-1700
Phone (828) 274-6000

Other practice location 2

1100 Tunnel Rd
Asheville, NC 28805-2576
Phone (828) 298-7911

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address scottwillismd@Direct.msj.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190130000411 NC Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5496063117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of California, San Diego School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-2325

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting17
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Jan 7, 2019 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Jan 7, 2019 Accepting new patients
Mission Hospitals Inc Current Accepting new patients
Mission Community Anesthesiology Specialists LLC Past Accepting new patients

Locations

5 Vanderbilt Park Dr
Asheville, NC 28803

50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

55 Medical Park Dr
Ste 114
Franklin, NC 28734
Phone (828) 349-6611

430 Rankin Dr
Marion, NC 28752
Phone (828) 652-2125

472 Rankin Dr
Marion, NC 28752
Phone (828) 652-1400

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

189 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 682-0200

Interoperability endpoints

  • Direct secure messaging: scottwillismd@direct.msj.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1548306640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751177",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751177",
            "telephone_number": "828-274-6000",
            "fax_number": "828-274-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "YNHH DEPT OF CARDIOLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Vanderbilt Park Dr",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288031700",
            "country_code": "US",
            "telephone_number": "828-274-6000",
            "fax_number": "828-274-6025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 Tunnel Rd",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288052576",
            "country_code": "US",
            "telephone_number": "828-298-7911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "SCOTT",
        "middle_name": "LESLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101239745",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2015-01978",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101239745",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101239745",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NC",
            "license": "2015-01978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scottwillismd@Direct.msj.org",
            "affiliation": "N",
            "address_1": "5 Vanderbilt Park Dr",
            "city": "Asheville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "288031700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.