Individual provider Active NPI

Scott Adam Heller

  • Neurology Physician
  • Gainesville, FL
National Provider Identifier
1558570127
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
ME122880 Issued in FL
Practice address
1600 SW Archer Rd
Box 100371
Gainesville, FL 32610-3001
Phone
(352) 265-0301
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X ME122880 FL Primary

Addresses

Primary practice location

1600 SW Archer Rd
Box 100371
Gainesville, FL 32610-3001

Mailing address

108 Quail Creek Cir
Saint Johns, FL 32259-7247
Phone (914) 420-9578

Other identifiers 2

IdentifierTypeStateIssuer
020936300MedicaidFL
IF556XOtherMEDICARE PTAN

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
I20200909002441 TX Practitioner - NeurologyPractitioner - Psychiatry 0547583635 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Psychiatry
Education
New York Medical College, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

7930 Floyd Curl Dr
San Antonio, TX 78229-3925
Phone (214) 297-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME122880FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carepoint Inpatient Blue Sky Neurology - Texas, PLLC Neurology CurrentSince Mar 1, 2021 Accepting new patients
BHS Physicians Network, Inc CurrentSince Sep 3, 2020 Accepting new patients
BHS Physicians Network, Inc CurrentSince Sep 3, 2020 Accepting new patients
BHS Specialty Network Inc Past Accepting new patients

Locations

7930 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 297-5000

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

3903 Wiseman Blvd
Ste 100
San Antonio, TX 78251
Phone (210) 681-0126

3903 Wiseman Blvd
San Antonio, TX 78251
Phone (210) 681-0126

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

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 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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558570127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 QUAIL CREEK CIR",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322597247",
            "telephone_number": "914-420-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SW ARCHER RD",
            "address_2": "BOX 100371",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103001",
            "telephone_number": "352-265-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "SCOTT",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME122880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020936300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IF556X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.