Individual provider Active NPI

Anthony Vincent Scialla, M.D.

  • Surgery Physician
  • New Haven, CT
National Provider Identifier
1982680476
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14257 Issued in CT
Practice address
100 York St
#8D
New Haven, CT 06511-5643
Phone
(203) 777-2946
Fax
(203) 865-5260
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14257 CT Primary

Addresses

Primary practice location

100 York St
#8D
New Haven, CT 06511-5643

Mailing address

100 York St
#8D
New Haven, CT 06511-5643
Phone (203) 777-2946

Other identifiers 2

IdentifierTypeStateIssuer
001142579MedicaidCT
010014257CT01OtherCTANTHEM BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20050509000918 CT Practitioner - General Surgery 8921048968 Practice locations: West Haven, CT; Wallingford, CT; North Haven, CT; New Haven, CT; Hamden, CT

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1982680476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 YORK ST",
            "address_2": "#8D",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115643",
            "telephone_number": "203-777-2946",
            "fax_number": "203-865-5260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 YORK ST",
            "address_2": "#8D",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115643",
            "telephone_number": "203-777-2946",
            "fax_number": "203-865-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCIALLA",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "14257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001142579",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "010014257CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.