Scott W Clitheroe, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

J4048 Issued in TX

Practice address

11211 Taylor Draper LN
Ste 202
Austin, TX 78759-3916

Phone

(512) 674-9021

Fax

(512) 342-9949

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: scott.clitheroe.1@17862.direct.athenahealth.com
• Direct secure messaging: scott.clitheroe.1@28513.direct.athenahealth.com
• Direct secure messaging: scott.clitheroe.1@12600.direct.athenahealth.com

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.

• Austin Hospital Physicians PA

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1427063296
  NPD (past) Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1740204395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9708 RAINLILLY LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787597701",
            "telephone_number": "512-658-6018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11211 TAYLOR DRAPER LN",
            "address_2": "STE 202",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593916",
            "telephone_number": "512-674-9021",
            "fax_number": "512-342-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLITHEROE",
        "first_name": "SCOTT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4048",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "J4048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RETIRED RAILROAD MEDICARE",
            "identifier": "110171906",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Evan Clingan, PTA
• Clinical Pathology Laboratories, Inc.
• Danielle Clinscales
• Clinton Riley
• Jennifer Nicole Clinton, RN
• Erin Dana Cloke
• Emily Marie Cloninger, BCBA
• Kassandra Closner
• Kayla Closner
• Cloud Dental PLLC (Cloud Dental)

• Hospitalist Physician in Austin, TX
• Providers in Austin, TX by specialty
• Hospitalist Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.