Individual provider Active NPI

Mark Scialabba, M.D.

  • Neurology Physician
  • Newport News, VA
National Provider Identifier
1851343222
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
0101231289 Issued in VA
Practice address
12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344
Phone
(757) 534-5100
Fax
(757) 534-5395
NPI assigned
May 16, 2006
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 0101231289 VA Primary

Addresses

Primary practice location

12200 Warwick Blvd Ste 110
Newport News, VA 23601-2344

Mailing address

856 J Clyde Morris Blvd Ste a
Newport News, VA 23601-1318
Phone (757) 316-5800

Other practice location 1

4431 Starkey Rd
Roanoke, VA 24014-2812
Phone (540) 342-0211

Other identifiers 1

IdentifierTypeStateIssuer
007108257MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MI, FL, SC, OH, GA, NC, DE8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20100201000363 VA Practitioner - Neurology 8628089034 Reassigns benefits to 1 organization
I20240224000120 MI Practitioner - Neurology 8628089034 Reassigns benefits to 2 organizations
I20250114002259 FL Practitioner - Neurology 8628089034
I20250122002977 SC Practitioner - Neurology 8628089034
I20250122003470 OH Practitioner - Neurology 8628089034 Reassigns benefits to 1 organization
I20250205003519 GA Practitioner - Neurology 8628089034 Reassigns benefits to 1 organization
I20250321003403 NC Practitioner - Neurology 8628089034 Reassigns benefits to 1 organization
I20250507003620 DE Practitioner - Neurology 8628089034 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Riverside Physician Services IncGroup PAC ID 5092608448, 793 clinicians

Practice addresses (Care Compare)

1000 Caromont Pkwy
Belmont, NC 28012-0140
Phone (972) 449-0540

1053 Lindell Ave
Petoskey, MI 49770-3231
Phone (972) 449-0540

12200 Warwick Blvd
Suite 110
Newport News, VA 23601-2344
Phone (757) 534-5100

1400 River PL
Braselton, GA 30517-5600
Phone (972) 449-0540

1400 W Ice Lake Rd
Iron River, MI 49935-9526
Phone (972) 449-0540

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (972) 449-0540

171 Fairview Rd
Mooresville, NC 28117-9500
Phone (972) 449-0540

188 Kitdare Dr
Delaware, OH 43015-7076
Phone (972) 449-0540

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (972) 449-0540

215 Brightwater Dr
Lillington, NC 27546-5156
Phone (972) 449-0540

2525 Court Dr
Gastonia, NC 28054-2140
Phone (972) 449-0540

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (972) 449-0540

270 Bruton Way
Atlanta, GA 30342-2052
Phone (972) 449-0540

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (972) 449-0540

4 Osprey TRL
Asheville, NC 28806-0152
Phone (972) 449-0540

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (972) 449-0540

68 Hospital Rd
Sylva, NC 28779-2722
Phone (972) 449-0540

800 Tilghman Dr
Dunn, NC 28334-5510
Phone (972) 449-0540

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (972) 449-0540

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101231289VAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare, PLLC Neurology CurrentSince Sep 27, 2023 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Covenant Medical Center, Inc Neurology CurrentSince Jan 24, 2024 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients

Locations

2093 Philadelphia Pike
Claymont, DE 19703
Phone (201) 308-3903

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

700 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6000

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

856 J Clyde Morris Blvd
Ste A
Newport News, VA 23601
Phone (757) 316-5900

Interoperability endpoints

  • Direct secure messaging: mscialabba158663@direct.covenanthealthcare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1851343222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 J CLYDE MORRIS BLVD STE A",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236011318",
            "telephone_number": "757-316-5800",
            "fax_number": "757-534-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 WARWICK BLVD STE 110",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236012344",
            "telephone_number": "757-534-5100",
            "fax_number": "757-534-5395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4431 Starkey Rd",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142812",
            "country_code": "US",
            "telephone_number": "540-342-0211",
            "fax_number": "540-344-5543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIALABBA",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101231289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007108257",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.