Individual provider Active NPI

Scott John Knoeppel, D.O.

  • Internal Medicine Physician
  • Zephyrhills, FL
National Provider Identifier
1689610412
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS 0005487 Issued in FL
Practice address
6937 Medical View LN
Zephyrhills, FL 33542-6648
Phone
(813) 780-2550
NPI assigned
Jun 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS 0005487 FL Primary

Addresses

Primary practice location

6937 Medical View LN
Zephyrhills, FL 33542-6648

Mailing address

1300 Bruce B Downs Blvd
Tampa, FL 33612
Phone (813) 949-2094

Other practice location 1

VAMC Bay Pines
10,000 Bay pines Blvd
Bay Pines, FL 33744
Phone (727) 398-6661 ext. 5330

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
I20200319001305 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 3274701503

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS 0005487FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Town & Country Internal Medicine, PA Internal Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1689610412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BRUCE B DOWNS BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33612",
            "telephone_number": "813-949-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6937 MEDICAL VIEW LN",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335426648",
            "telephone_number": "813-780-2550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "VAMC Bay Pines",
            "address_2": "10,000 Bay pines Blvd",
            "address_purpose": "LOCATION",
            "city": "Bay Pines",
            "state": "FL",
            "postal_code": "33744",
            "country_code": "US",
            "telephone_number": "727-398-6661 x5330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNOEPPEL",
        "first_name": "SCOTT",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS 0005487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.