NPIMap

Individual provider Active NPI

Brian David Mott, MD

  • Specialist
  • Scranton, PA
National Provider Identifier
1639165111
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD-073573L Issued in PA
Practice address
720 Madison Ave
Scranton, PA 18510-1609
Phone
(570) 343-1115
Fax
(570) 343-5865
NPI assigned
Sep 21, 2005
Last updated
Aug 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD-073573L PA Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X MD073573L PA

Addresses

Primary practice location

720 Madison Ave
Scranton, PA 18510-1609

Mailing address

610 Wyoming Ave
Kingston, PA 18704-3702
Phone (570) 288-5441

Other identifiers 1

IdentifierTypeStateIssuer
01844694MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brian.mott.3@21771.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100809000958 PA Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 4082747258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Albany Medical College of Union University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scranton Cardiovascular Physician Services LLCGroup PAC ID 6204097975, 17 clinicians

Practice addresses (Care Compare)

743 Jefferson Ave
Suite 305
Scranton, PA 18510-1639
Phone (570) 342-1776

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Hospitalist Physician Services LLC CurrentSince Aug 1, 2023 Accepting new patients
Geisinger Clinic Current Accepting new patients
Scranton Cardiovascular Physician Services LLC CurrentSince Dec 1, 2016 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2012 Accepting new patients
Geisinger Clinic CurrentSince Jul 1, 2012 Accepting new patients
Great Valley Cardiology Associates PastSince Dec 1, 2016 Accepting new patients
Scranton Hospital Company LLC Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

720 Madison Ave
Scranton, PA 18510
Phone (570) 343-1115

746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079

746 Jefferson Ave
Ste 305
Scranton, PA 18510
Phone (570) 342-1776

545 N River St
Ste 220
Wilkes Barre, PA 18702
Phone (570) 343-1115

Interoperability endpoints

  • Direct secure messaging: brian.mott.2@21771.direct.athenahealth.com

Organizations & group practices 7

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1639165111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043702",
            "telephone_number": "570-288-5441",
            "fax_number": "570-288-5842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MADISON AVE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101609",
            "telephone_number": "570-343-1115",
            "fax_number": "570-343-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "BRIAN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD-073573L",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "PA",
            "license": "MD073573L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01844694",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.mott.3@21771.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "amr direct address",
            "address_1": "720 Madison Ave",
            "city": "Scranton",
            "state": "PA",
            "country_code": "US",
            "postal_code": "185101609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.