Active NPI
Samuel J Scott Jr., M.D.
- Internal Medicine Physician
- Washington, DC
National Provider Identifier
1801986096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD5443
- Practice address
- 1120 19TH St NW
Suite 410
Washington, DC 20036-3605 - Phone
- (202) 463-6440
- Fax
- (202) 223-6525
- NPI assigned
- Oct 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD5443 | DC | Primary |
Addresses
Primary practice location
1120 19TH St NW
Suite 410
Washington, DC 20036-3605
Mailing address
5315 Washington Blvd
Arlington, VA 22205-2703
Phone (703) 241-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD5443 | DC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801986096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5315 WASHINGTON BLVD",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222052703",
"telephone_number": "703-241-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 19TH ST NW",
"address_2": "SUITE 410",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200363605",
"telephone_number": "202-463-6440",
"fax_number": "202-223-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "SAMUEL",
"middle_name": "J",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "DC",
"license": "MD5443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.