Active NPI
Troy Dean Scheidt, MD
- Otolaryngology Physician
- Columbia, MO
National Provider Identifier
1619920097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2004012772
- Practice address
- 1000 W Nifong Blvd
Building 3, Suite 100
Columbia, MO 65203-5615 - Phone
- (573) 214-2000
- Fax
- (573) 214-2042
- NPI assigned
- May 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 2004012772 | MO | Primary |
Addresses
Primary practice location
1000 W Nifong Blvd
Building 3, Suite 100
Columbia, MO 65203-5615
Mailing address
1000 W Nifong Blvd
Building 3, Suite 100
Columbia, MO 65203-5615
Phone (573) 214-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209107309 | Medicaid | MO | |
| P00419156 | Other | MO | RAILROAD MEDICARE |
| P00259184 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041020000001 | MO | Practitioner - Otolaryngology | 9537120944 |
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- University of Missouri, Columbia School of Medicine, 1999
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1000 W Nifong Blvd
BLDG 3 Suite 100
Columbia, MO 65203-5661
Hospital & facility affiliations
- Boone Hospital Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004012772 | MO | MD | Otolaryngology Physician |
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1902817844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304553600000",
"number": "1619920097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 W NIFONG BLVD",
"address_2": "BUILDING 3, SUITE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035615",
"telephone_number": "573-214-2000",
"fax_number": "573-214-2042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 W NIFONG BLVD",
"address_2": "BUILDING 3, SUITE 100",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652035615",
"telephone_number": "573-214-2000",
"fax_number": "573-214-2042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHEIDT",
"first_name": "TROY",
"middle_name": "DEAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2011-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MO",
"license": "2004012772",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209107309",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00419156",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00259184",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.