Individual provider Active NPI

Michael Joseph Scolieri, MD

  • Urology Physician
  • Alliance, OH
National Provider Identifier
1679557011
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35071 Issued in OH
Practice address
885 S Sawburg Rd
Ste 105
Alliance, OH 44601-5905
Phone
(330) 823-1112
Fax
(330) 823-1139
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35071 OH Primary
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X 35-071577 OH

Addresses

Primary practice location

885 S Sawburg Rd
Ste 105
Alliance, OH 44601-5905

Mailing address

7790 Cedar Park Dr
Canfield, OH 44406-7700
Phone (330) 702-1860

Other identifiers 2

IdentifierTypeStateIssuer
340020570OtherOHRAILROAD MEDICARE
2240793MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050414000052 OH Practitioner - Urology 0143267146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Urology Institute IncGroup PAC ID 9638438245, 4 clinicians

Practice addresses (Care Compare)

2364 Southeast Blvd
Salem, OH 44460-3418
Phone (330) 337-1134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
20.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
68.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35071OHMDUrology Physician
35-071577OHMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Urology Institute Inc. Urology CurrentSince Jan 1, 2018 Accepting new patients
Comprehensive Womens Health Partners LLC CurrentSince Sep 13, 2018 Accepting new patients

Locations

3660 Stutz Dr
Ste 202
Canfield, OH 44406
Phone (330) 286-3156

2364 Southeast Blvd
Salem, OH 44460
Phone (330) 332-4833

2360 Southeast Blvd
Salem, OH 44460
Phone (330) 337-1134

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.

Hospital & facility affiliations 7

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1679557011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7790 CEDAR PARK DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444067700",
            "telephone_number": "330-702-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 S SAWBURG RD",
            "address_2": "STE 105",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015905",
            "telephone_number": "330-823-1112",
            "fax_number": "330-823-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOLIERI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35071",
            "primary": true
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "OH",
            "license": "35-071577",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340020570",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2240793",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.