Individual provider Active NPI

Scott J Harris, D.O.

  • Rheumatology Physician
  • Henderson, NV
National Provider Identifier
1942273099
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
734 Issued in NV
Practice address
874 American Pacific Dr
Henderson, NV 89014-8800
Phone
(702) 777-4809
Fax
(702) 777-4822
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 734 NV Primary

Addresses

Primary practice location

874 American Pacific Dr
Henderson, NV 89014-8800

Mailing address

874 American Pacific Dr
Henderson, NV 89014-8800
Phone (702) 777-1824

Other identifiers 4

IdentifierTypeStateIssuer
V30666OtherNVMEDICARE GROUP
2019671MedicaidNV
1942273099MedicaidNV
V24262OtherNVLAB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20080708000611 NV Practitioner - Rheumatology 9133291123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
College of Osteo Med of the Pacific at Pomona, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kum Singh PLLCGroup PAC ID 3577903574, 3 clinicians

Practice addresses (Care Compare)

2621 W Horizon Ridge Pkwy
Suite 110
Henderson, NV 89052-2895
Phone (725) 220-3863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
734NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kum Singh PLLC Rheumatology CurrentSince Jul 13, 2024 Accepting new patients
Touro University Rheumatology CurrentSince Jun 8, 2010 Accepting new patients

Locations

1801 W Olympic Blvd
#2265
Pasadena, CA 91199

874 American Pacific Dr
Henderson, NV 89014
Phone (702) 777-4808

2621 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052
Phone (702) 308-5534

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: scottharris@tu.allscriptsdirect.net
  • Direct secure messaging: scott.harris.p1@direct.ologymed.nextgenshare.com

Organizations & group practices 2

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": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1942273099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 AMERICAN PACIFIC DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148800",
            "telephone_number": "702-777-1824",
            "fax_number": "702-777-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 AMERICAN PACIFIC DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890148800",
            "telephone_number": "702-777-4809",
            "fax_number": "702-777-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SCOTT",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NV",
            "license": "734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "V30666",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019671",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942273099",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LAB",
            "identifier": "V24262",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.