Individual provider Active NPI

Clifton G Scaggs, DPM

  • Podiatrist
  • Scarsdale, NY
National Provider Identifier
1891760401
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
2623 Issued in NY
Practice address
700 White Plains Rd
Suite 26
Scarsdale, NY 10583-5063
Phone
(914) 472-3030
Fax
(914) 472-5575
NPI assigned
Feb 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 2623 NY Primary

Addresses

Primary practice location

700 White Plains Rd
Suite 26
Scarsdale, NY 10583-5063

Mailing address

700 White Plains Rd
Suite 26
Scarsdale, NY 10583-5063
Phone (914) 472-3030

Other identifiers 1

IdentifierTypeStateIssuer
WS1352OtherNYOXFORD ID

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111220000519 NY Practitioner - Podiatry 2769658889 Practice locations: Scarsdale, NY

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1975
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

700 Post Rd
Suite 26
Scarsdale, NY 10583-5013
Phone (914) 472-3030

700 White Plains Rd
Suite 26
Scarsdale, NY 10583-5013

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue248
Removal of skin lesions52
Removal of nail tissue251
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002623NYMDPediatrics Physician
2623NYMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1891760401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WHITE PLAINS RD",
            "address_2": "SUITE 26",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835063",
            "telephone_number": "914-472-3030",
            "fax_number": "914-472-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WHITE PLAINS RD",
            "address_2": "SUITE 26",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105835063",
            "telephone_number": "914-472-3030",
            "fax_number": "914-472-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCAGGS",
        "first_name": "CLIFTON",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-18",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "2623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID",
            "identifier": "WS1352",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.