Individual provider Active NPI

Scott William Wolf, MD

  • Anesthesiology Physician
  • Tyler, TX
National Provider Identifier
1790845253
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
L7607 Issued in TX
Practice address
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone
(903) 596-3504
Fax
(903) 596-3604
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DR.0052478 CO
Anesthesiology Physician 207L00000X MD61089230 WA
Critical Care Medicine (Anesthesiology) Physician 207LC0200X L7607 TX
Anesthesiology Physician 207L00000X L7607 TX Primary

Addresses

Primary practice location

1000 S Beckham Ave
Tyler, TX 75701-1908

Mailing address

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 596-3504

Other names 1

  • Scott William Wolf Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200915000144 WA Practitioner - Anesthesiology 7719081629 Reassigns benefits to 2 organizations
I20230914000906 TX Practitioner - Anesthesiology 7719081629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergenchealth PLLCGroup PAC ID 1355606641, 1,037 clinicians
Sound Physicians Intensivists of Washington PLLCGroup PAC ID 5395018808, 81 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

Practice addresses (Care Compare)

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 747-4586

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 474-3131

3901 W 15TH St
Plano, TX 75075-7738
Phone (972) 596-6800

7400 Barlite Blvd
San Antonio, TX 78224-1308
Phone (210) 921-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7607TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians Intensivists of Washington PLLC Critical Care Medicine CurrentSince Jul 1, 2022 Accepting new patients
Orthomed Staffing LLC Anesthesiology CurrentSince May 2, 2023 Accepting new patients
Providence Health & Service- Washington Anesthesiology CurrentSince Mar 13, 2022 Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

15305 Dallas Pkwy
Ste 900
Addison, TX 75001
Phone (214) 937-0392

1105 Central Expy N
Allen, TX 75013
Phone (972) 747-4313

801 W Interstate 20
Arlington, TX 76017
Phone (817) 472-3400

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

2201 K Ave
Ste B100
Plano, TX 75074
Phone (214) 931-6133

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1790845253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-596-3504",
            "fax_number": "903-596-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-596-3504",
            "fax_number": "903-596-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0052478",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD61089230",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "TX",
            "license": "L7607",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "L7607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "WOLF",
            "middle_name": "WILLIAM",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.