Individual provider Active NPI

Thomas G Scoufalos, PA-C

  • Medical Physician Assistant
  • York, PA
National Provider Identifier
1669451779
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA050727 Issued in PA
Practice address
2690 Southfield Dr
York, PA 17403-4510
Phone
(717) 741-1414
Fax
(717) 741-4774
NPI assigned
Jan 17, 2006
Last updated
Jan 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA050727 PA Primary

Addresses

Primary practice location

2690 Southfield Dr
York, PA 17403-4510

Mailing address

2690 Southfield Dr
York, PA 17403-4510
Phone (717) 741-1414

Other identifiers 1

IdentifierTypeStateIssuer
7743394MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tscoufalos97258@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040823001170 PA Practitioner - Physician Assistant 2163496472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 843-8623

1703 Innovation Dr
York, PA 17408-8815

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

2690 Southfield Dr
York, PA 17403-4510
Phone (717) 741-1414

310 Stock St
Hanover, PA 17331-2276

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Apr 27, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 27, 2019 Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients

Locations

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

2690 Southfield Dr
York, PA 17403
Phone (717) 741-1414

2690 Southfield Dr
#A
York, PA 17403
Phone (717) 741-1414

Interoperability endpoints

  • Direct secure messaging: tscoufalos302576@upmc.direct-ci.com

Organizations & group practices 4

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611964800000",
    "number": "1669451779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 SOUTHFIELD DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034510",
            "telephone_number": "717-741-1414",
            "fax_number": "717-741-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 SOUTHFIELD DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174034510",
            "telephone_number": "717-741-1414",
            "fax_number": "717-741-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOUFALOS",
        "first_name": "THOMAS",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA050727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7743394",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tscoufalos97258@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2690 Southfield Dr",
            "city": "York",
            "state": "PA",
            "country_code": "US",
            "postal_code": "174034510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.