Individual provider Active NPI

Philip Alan Scolaro, M.D.

  • Otolaryngology Physician
  • Lubbock, TX
National Provider Identifier
1609961812
Registry record updated Feb 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
H0799 Issued in TX
Practice address
3802 22ND St
Suite 200
Lubbock, TX 79410-1107
Phone
(806) 791-0188
Fax
(806) 788-0470
NPI assigned
Oct 4, 2006
Last updated
Feb 1, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X H0799 TX Primary

Addresses

Primary practice location

3802 22ND St
Suite 200
Lubbock, TX 79410-1107

Mailing address

3802 22ND St
Suite 200
Lubbock, TX 79410-1107
Phone (806) 791-0188

Other identifiers 2

IdentifierTypeStateIssuer
8CD477OtherTXBCBS
120401803MedicaidTX

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
I20100115000224 TX Practitioner - Otolaryngology 8426190364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Texas Medical School at San Antonio, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ear Nose and Throat Associates of Lubbock PAGroup PAC ID 6103968896, 2 clinicians

Practice addresses (Care Compare)

3802 22ND St
Suite 200
Lubbock, TX 79410-1147
Phone (806) 791-0188

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ear Nose and Throat Associates of Lubbock PA Otolaryngology CurrentSince Oct 25, 2009 Accepting new patients

Locations

3802 22nd St
Ste 200
Lubbock, TX 79410
Phone (806) 791-0188

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264982400000",
    "number": "1609961812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 22ND ST",
            "address_2": "SUITE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101107",
            "telephone_number": "806-791-0188",
            "fax_number": "806-788-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3802 22ND ST",
            "address_2": "SUITE 200",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101107",
            "telephone_number": "806-791-0188",
            "fax_number": "806-788-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLARO",
        "first_name": "PHILIP",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "H0799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CD477",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120401803",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.