Individual provider Active NPI

Scott Vincent Rankin, M.D.

  • Internal Medicine Physician
  • Freeport, NY
National Provider Identifier
1740208933
Registry record updated Dec 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
191674-1 Issued in NY
Practice address
276 Moore Ave
Freeport, NY 11520-1042
Phone
(516) 223-4759
Fax
(516) 223-5712
NPI assigned
Jul 17, 2006
Last updated
Dec 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2013

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 191674-1 NY Primary

Addresses

Primary practice location

276 Moore Ave
Freeport, NY 11520-1042

Mailing address

276 Moore Ave
Freeport, NY 11520-1042
Phone (516) 223-4759

Other identifiers 1

IdentifierTypeStateIssuer
01529877MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060202000833 NY Practitioner - Internal Medicine 0446264014 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191674-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scott V. Rankin, M.D., P.C. Internal Medicine CurrentSince Feb 14, 2002 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

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, 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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388361600000",
    "number": "1740208933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 MOORE AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201042",
            "telephone_number": "516-223-4759",
            "fax_number": "516-223-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276 MOORE AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201042",
            "telephone_number": "516-223-4759",
            "fax_number": "516-223-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "SCOTT",
        "middle_name": "VINCENT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "191674-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01529877",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.