Scott Jason Pello, M.D.

Primary specialty

Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X

License

MD439665 Issued in PA

Practice address

600 Louis Dr Ste 202
Warminster, PA 18974-2847

Phone

(215) 957-5400

Fax

(215) 957-5401

NPI assigned

Oct 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, PA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Greater Philadelphia Pain Management Center PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Philadelphia, PA
  • NPI 1588974588
  Medicare reassignment NPD
• West Philadelphia Pain Management Center

  • Chiropractor
  • Philadelphia, PA
  • NPI 1396258380
  NPD (past)
• Excelsia Physicians Group LLC

  • Internal Medicine Physician
  • Baltimore, MD
  • NPI 1659086361
  NPD (past)
• New Jersey Pain Consultants PC

  • Specialist
  • Morristown, NJ
  • NPI 1366448979
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1619165867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LOUIS DR STE 202",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742847",
            "telephone_number": "215-957-5400",
            "fax_number": "215-954-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LOUIS DR STE 202",
            "city": "WARMINSTER",
            "state": "PA",
            "postal_code": "189742847",
            "telephone_number": "215-957-5400",
            "fax_number": "215-957-5401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2612 Rhawn St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191523415",
            "country_code": "US",
            "telephone_number": "215-338-8555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2440 Bristol Rd",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190206002",
            "country_code": "US",
            "telephone_number": "215-891-9955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5429 Chestnut St Ste G19",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191393325",
            "country_code": "US",
            "telephone_number": "215-796-9003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2325 Maryland Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Willow Grove",
            "state": "PA",
            "postal_code": "190901760",
            "country_code": "US",
            "telephone_number": "215-657-9393",
            "fax_number": "215-657-9398",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 Byberry Rd Ste 1101",
            "address_purpose": "LOCATION",
            "city": "Huntingdon Valley",
            "state": "PA",
            "postal_code": "190063523",
            "country_code": "US",
            "telephone_number": "215-947-7992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELLO",
        "first_name": "SCOTT",
        "middle_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-11",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NJ",
            "license": "25MA08897600",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "PA",
            "license": "MD439665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Patel, DPM
• Richard H Patt, M.D.
• Paul M Shipkin M.D., P.C.
• Brittany Paul
• Payne Opticians
• Derek Pendleton, LCSW, ACSW, BCD
• Pennsylvania CVS Pharmacy, L.L.C.
• Pennsylvania CVS Pharmacy, L.L.C.
• Jeffrey Hugh Perlson, DO
• Philadelphia Emergency Medical Services

• Pain Medicine (Psychiatry & Neurology) Physician in Warminster, PA
• Providers in Warminster, PA by specialty
• Pain Medicine (Psychiatry & Neurology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.