Active NPI
Andrew Scaduto, MD
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R9931
- Practice address
- 8112 Delmar Blvd
Saint Louis, MO 63130-3736 - Phone
- (314) 546-5808
- Fax
- (314) 677-6807
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R9931 | MO | Primary |
Addresses
Primary practice location
8112 Delmar Blvd
Saint Louis, MO 63130-3736
Mailing address
PO Box 240244
Ballwin, MO 63024-0244
Phone (314) 546-5808
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 |
|---|---|---|---|---|
| I20070130000686 | MO | Practitioner - Family Practice | 2062452378 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R9931 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirpa LLC | Past | Accepting new patients | |
| Vpa PC | Family Medicine | Past | Accepting new patients |
| Simran Behavioral Health | Past | Accepting new patients | |
| Nineveh Home Health Services LLC | Family Medicine | Past | Accepting new patients |
| Healthcare Physicians of Southern Illinois, PC | Family Medicine | Past | Accepting new patients |
| Choice Group, LLC | Past | Accepting new patients | |
| Institute for Research and Education in Family Medicine | Family Medicine | Past | Accepting new patients |
| County of St Louis Division of Fiscal Management | Past | Accepting new patients | |
| Vpa PC | Family Medicine | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Nineveh Hospice | Hospice | Contracted Managing Employee (25%) | Nov 17, 2024 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Community Based Hospice Care Agency
- Saint Charles, MO
- NPI 1437981305
Contracted Managing Employee
Organizations & group practices 9
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.
-
- Health Service Clinic/Center
- Saint Louis, MO
- NPI 1447421128
-
- Federally Qualified Health Center (FQHC)
- Berkeley, MO
- NPI 1184519506
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1972567923
-
- Internal Medicine Physician
- Olivette, MO
- NPI 1891747051
-
- Community Based Hospice Care Agency
- Saint Charles, MO
- NPI 1437981305
Family Medicine
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Saint Louis, MO
- NPI 1831526052
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1760706337
-
- Family Medicine Physician
- Belleville, IL
- NPI 1023034618
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1659367704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240244",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630240244",
"telephone_number": "314-546-5808",
"fax_number": "314-677-6807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8112 DELMAR BLVD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631303736",
"telephone_number": "314-546-5808",
"fax_number": "314-677-6807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCADUTO",
"first_name": "ANDREW",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "R9931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.