Individual provider Active NPI

John D Scala, MD

  • Internal Medicine Physician
  • Centennial, CO
National Provider Identifier
1972506160
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
48613 Issued in CO
Practice address
13111 E Briarwood Ave Ste 210
Centennial, CO 80112-3846
Phone
(720) 463-0010
Fax
(303) 593-2120
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2018

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 48613 CO Primary
Internal Medicine Physician 207R00000X 036096720 IL

Addresses

Primary practice location

13111 E Briarwood Ave Ste 210
Centennial, CO 80112-3846

Mailing address

PO Box 4707
Englewood, CO 80155-4707
Phone (720) 463-0010

Other identifiers 2

IdentifierTypeStateIssuer
75734044MedicaidCO
036096720MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110809000138 CO Practitioner - Pediatric MedicinePractitioner - Internal Medicine 1456320084 Reassigns benefits to 1 organization
I20180417001697 CO Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1456320084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scala Medical PCGroup PAC ID 0648539189, 2 clinicians

Practice addresses (Care Compare)

13111 E Briarwood Ave
Centennial, CO 80112-3846
Phone (720) 242-6600

Hospital & facility affiliations

  • AdventHealth Littleton Hospital, Littleton, CO, CCN 060113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48613COMDRegistered Nurse
036096720ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scala Medical PC CurrentSince May 5, 2017 Accepting new patients
Tooele Clinic Corp Internal Medicine Past Accepting new patients

Locations

13111 E Briarwood Ave
Ste 210
Centennial, CO 80112
Phone (720) 242-6600

3464 S Willow St
Ste 149
Denver, CO 80231

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAHBBD

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 3

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522022400000",
    "number": "1972506160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4707",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801554707",
            "telephone_number": "720-463-0010",
            "fax_number": "303-593-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13111 E BRIARWOOD AVE STE 210",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123846",
            "telephone_number": "720-463-0010",
            "fax_number": "303-593-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALA",
        "first_name": "JOHN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2018-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "48613",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036096720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75734044",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096720",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.