Individual provider Active NPI

Scott D. Spagnoli, M.D.

  • Otolaryngology Physician
  • Arlington, VA
National Provider Identifier
1861467326
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101036728 Issued in VA
Practice address
1635 N George Mason Dr
Ste. 250
Arlington, VA 22205-3601
Phone
(703) 524-1212
Fax
(703) 524-4595
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 0101036728 VA Primary

Addresses

Primary practice location

1635 N George Mason Dr
Ste. 250
Arlington, VA 22205-3601

Mailing address

1635 N George Mason Dr
Ste. 250
Arlington, VA 22205-3601
Phone (703) 524-1212

Other identifiers 1

IdentifierTypeStateIssuer
1861467326OtherNPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20080102000097 DC Practitioner - Otolaryngology 9739269820 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101036728VAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Mar 21, 2018 Accepting new patients
Arlington Audiology Associates, LLC Current Accepting new patients
Privia Medical Group, LLC Otolaryngology CurrentSince Mar 21, 2018 Accepting new patients
New Directions of Central Florida, LLC PastSince Aug 27, 2009 Accepting new patients

Locations

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

1635 N George Mason Dr
Ste 250
Arlington, VA 22205
Phone (703) 524-1212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1861467326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR",
            "address_2": "STE. 250",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053601",
            "telephone_number": "703-524-1212",
            "fax_number": "703-524-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N GEORGE MASON DR",
            "address_2": "STE. 250",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222053601",
            "telephone_number": "703-524-1212",
            "fax_number": "703-524-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNOLI",
        "first_name": "SCOTT",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101036728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1861467326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.