Individual provider Active NPI

Scott M Tenner, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1750398566
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
205237 Issued in NY
Practice address
2211 Emmons Ave
Brooklyn, NY 11235-2792
Phone
(718) 368-2960
NPI assigned
Aug 2, 2006
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 205237 NY Primary

Addresses

Primary practice location

2211 Emmons Ave
Brooklyn, NY 11235-2792

Mailing address

2211 Emmons Ave
Brooklyn, NY 11235
Phone (718) 368-2960

Other identifiers 1

IdentifierTypeStateIssuer
01717775MedicaidNY

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
I20040609001508 NY Practitioner - Gastroenterology 6901889070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Georgetown University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

187 Veterans Blvd
Massapequa, NY 11758-4982
Phone (516) 795-5523

Merit-based Incentive Payment System (MIPS)

Final score
26.1 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
87.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy171
Upper gastrointestinal (GI) endoscopy for acid reflux107

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Jan 12, 2024 Accepting new patients
Brooklyn Endoscopy SC, LLC Current Accepting new patients
Brooklyn Gastroenterology and Endoscopy PLLC Gastroenterology CurrentSince May 1, 2008 Accepting new patients
Maimonides Medical Center - MMC Gastroenterology FPP Gastroenterology Current Accepting new patients

Locations

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://bb987e73-73ac-4ace-9dff-9faef78ec81e.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: scott.tenner.1@24721.direct.athenahealth.com
  • Direct secure messaging: scotttenner@mai.allscriptsdirect.net

Organizations & group practices 7

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1750398566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11235",
            "telephone_number": "718-368-2960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 EMMONS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352792",
            "telephone_number": "718-368-2960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TENNER",
        "first_name": "SCOTT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "205237",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01717775",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.