Individual provider Active NPI

Scott M Stengel, MD

  • Pain Medicine (Anesthesiology) Physician
  • Leesburg, FL
National Provider Identifier
1891870655
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME61419 Issued in FL
Practice address
1112 West Dixie Avenue
Leesburg, FL 34748
Phone
(352) 728-5857
Fax
(352) 728-6734
NPI assigned
Oct 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME61419 FL Primary

Addresses

Primary practice location

1112 West Dixie Avenue
Leesburg, FL 34748

Mailing address

1112 W Dixie Ave
Leesburg, FL 34748-6312
Phone (352) 728-5857

Other identifiers 1

IdentifierTypeStateIssuer
27892OtherFLBC&BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050127000064 FL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Internal MedicinePractitioner - Pain Management 7113977240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1112 W Dixie Ave
Leesburg, FL 34748-6312
Phone (352) 728-5857

1550 Killingsworth Way
The Villages, FL 32162-2175
Phone (352) 633-2971

Hospital & facility affiliations

  • Adventhealth Waterman Hospital, Tavares, FL, CCN 100057

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott M Stengel MD PA Pain Medicine CurrentSince Jan 1, 2004 Accepting new patients

Locations

1112 W Dixie Ave
Leesburg, FL 34748
Phone (352) 728-5857

Organizations & group practices 1

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 1

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1891870655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 W DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486312",
            "telephone_number": "352-728-5857",
            "fax_number": "352-728-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 WEST DIXIE AVENUE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "34748",
            "telephone_number": "352-728-5857",
            "fax_number": "352-728-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENGEL",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME61419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS",
            "identifier": "27892",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.