Individual provider Active NPI

Scott J Pollak, MD

  • Clinical Cardiac Electrophysiology Physician
  • Orlando, FL
National Provider Identifier
1629062245
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME50582 Issued in FL
Practice address
1745 N Mills Ave
Orlando, FL 32803-1851
Phone
(407) 841-7151
Fax
(407) 648-2259
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X ME50582 FL Primary
Cardiovascular Disease Physician 207RC0000X ME50582 FL
Interventional Cardiology Physician 207RI0011X ME50582 FL

Addresses

Primary practice location

1745 N Mills Ave
Orlando, FL 32803-1851

Mailing address

1745 N Mills Ave
Orlando, FL 32803-1851
Phone (407) 841-7151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100715000253 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional CardiologyPractitioner - Internal Medicine 1052459823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Cardiology Group PA Cardiovascular Disease Current Accepting new patients
Central Florida Cardiology Group PA Clinical Cardiac Electrophysiology CurrentSince Jun 1, 1987 Accepting new patients

Locations

4106 W Lake Mary Blvd
Ste 312
Lake Mary, FL 32746
Phone (407) 333-2142

1745 N Mills Ave
Ste 100
Orlando, FL 32803
Phone (407) 841-7151

500 E Colonial Dr
Orlando, FL 32803
Phone (407) 218-4340

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1745 N Mills Ave
Orlando, FL 32803
Phone (407) 841-7151

2441 W State Road 426
Ste 2021
Oviedo, FL 32765
Phone (407) 365-7268

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25476/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1629062245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031851",
            "telephone_number": "407-841-7151",
            "fax_number": "407-648-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 N MILLS AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031851",
            "telephone_number": "407-841-7151",
            "fax_number": "407-648-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLAK",
        "first_name": "SCOTT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME50582",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME50582",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME50582",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.