Organization Active NPI

Scott Newcomb, DPM PC

  • Podiatrist
  • Elgin, IL
National Provider Identifier
1750308516
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
SCOTT NEWCOMB, DPM PC
Practice address
431 Summit St
Suite 102
Elgin, IL 60120-3861
Phone
(847) 697-4500
Fax
(847) 697-0446
NPI assigned
Jul 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Authorized official

Name
Scott A Newcomb, DPMNPI 1992706261
Title
President
Phone
(847) 697-4500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X IL Primary

Addresses

Primary practice location

431 Summit St
Suite 102
Elgin, IL 60120-3861

Mailing address

431 Summit St
Suite 102
Elgin, IL 60120-3861
Phone (847) 697-4500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000201 IL Part B Supplier - Clinic/Group Practice 4587626569 Receives reassigned benefits from 2 practitioners
Practice locations: Elgin, IL

National Provider Directory

National Provider Directory

Locations

4646 N Marine Dr
Ste 400
Chicago, IL 60640

431 Summit St
Ste 102
Elgin, IL 60120
Phone (847) 697-4500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3943/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1750308516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SUMMIT ST",
            "address_2": "SUITE 102",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203861",
            "telephone_number": "847-697-4500",
            "fax_number": "847-697-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SUMMIT ST",
            "address_2": "SUITE 102",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203861",
            "telephone_number": "847-697-4500",
            "fax_number": "847-697-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT NEWCOMB, DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-697-4500",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.