Individual provider Active NPI

Blake K Scott, M.D.

  • Gastroenterology Physician
  • Winston Salem, NC
National Provider Identifier
1962645929
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2013-00510 Issued in NC
Practice address
1901 S Hawthorne Rd
Suite 310
Winston Salem, NC 27103-3921
Phone
(336) 448-2427
Fax
(336) 765-2869
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2013-00510 NC
Gastroenterology Physician 207RG0100X 2013-00510 NC Primary

Addresses

Primary practice location

1901 S Hawthorne Rd
Suite 310
Winston Salem, NC 27103-3921

Mailing address

1830 S Hawthorne Rd
Winston Salem, NC 27103-4014
Phone (336) 448-2427

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bscott161753@direct.novanthealth.org Health Information Exchange (HIE) GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150720001866 NC Practitioner - GastroenterologyPractitioner - Internal Medicine 2769795715 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Wake Forest University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of the Piedmont PAGroup PAC ID 4587568860, 24 clinicians

Practice addresses (Care Compare)

1901 S Hawthorne Rd
Suite 310
Winston Salem, NC 27103-3915
Phone (336) 448-2427

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

Merit-based Incentive Payment System (MIPS)

Final score
90.25 of 100Reported as group
Quality
87.75
Promoting interoperability
100
Improvement activities
40
Cost
79.73

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy75
Upper gastrointestinal (GI) endoscopy for acid reflux119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00510NCMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of the Piedmont, P.a. Gastroenterology Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7126 Village Medical Cir
Clemmons, NC 27012
Phone (336) 448-2427

445 Pineview Dr
Ste 200B
Kernersville, NC 27284
Phone (336) 448-2427

875 Bethesda Rd
Winston Salem, NC 27103
Phone (336) 448-2427

1901 S Hawthorne Rd
Ste 310
Winston Salem, NC 27103
Phone (336) 448-2427

1901 S Hawthorne Rd
Ste 308
Winston Salem, NC 27103
Phone (336) 448-2427

1830 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 448-2427

Interoperability endpoints

  • Direct secure messaging: bscott161753@direct.novanthealth.org

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.

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1962645929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S HAWTHORNE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271034014",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S HAWTHORNE RD",
            "address_2": "SUITE 310",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033921",
            "telephone_number": "336-448-2427",
            "fax_number": "336-765-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "BLAKE",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2023-11-27",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2013-00510",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "2013-00510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bscott161753@direct.novanthealth.org",
            "affiliation": "Y",
            "endpointDescription": "Direct Message Address",
            "affiliationName": "GASTROENTEROLOGY ASSOCIATES OF THE PIEDMONT, P.A.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1901 S Hawthorne Rd",
            "address_2": "Suite 310",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.