Organization Active NPI

Scala Medical PC

  • Primary Care Clinic/Center
  • Centennial, CO
National Provider Identifier
1992223184
Registry record updated Mar 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
48613 Issued in CO
Legal business name
SCALA MEDICAL PC
Practice address
13111 E Briarwood Ave Ste 210
Centennial, CO 80112-3846
Phone
(720) 463-0010
NPI assigned
Sep 7, 2017
Last updated
Mar 26, 2018By the provider in NPPES
Organization subpart
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

Authorized official

Name
Dr. John D Scala, MDNPI 1972506160
Title
President
Phone
(720) 463-0010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 48613 CO Primary

Addresses

Primary practice location

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

Mailing address

PO Box 4707
Greenwood Village, CO 80155-4707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180109001510 CO Part B Supplier - Clinic/Group Practice 0648539189 Receives reassigned benefits from 3 practitioners
Practice locations: Centennial, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2140831Scala Medical, PC13111 E Briarwood Ave, Ste 210, Centennial, CO 80112Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

Locations

2600 S Parker Rd
Ste 120
Aurora, CO 80014

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1992223184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4707",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801554707"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCALA MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-07",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "SCALA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-463-0010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "48613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.