DR. KEITH-AUSTIN SCARFO D.O. NPI 1003012014

Anesthesiology in Providence, RI

NPI 1003012014 Individual Male Years of Experience 17 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for DR. KEITH-AUSTIN SCARFO D.O.

Keith-austin Scarfo is a provider established in Providence, Rhode Island and his medical specialization is anesthesiology with more than 17 years of experience. He graduated from Philadelphia College Of Osteopathic Medicine in 2006. The NPI number of Keith-austin Scarfo is 1003012014 and was assigned on June 2007. The practitioner's primary taxonomy code is 207L00000X with license number DO00785 (RI). The provider is registered as an individual and his NPI record was last updated 7 years ago.

An anesthesiologist like Dr. Keith-austin Scarfo D.o. manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Keith-austin Scarfo is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Keith-austin Scarfo is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Rhode Island Hospital and The Miriam Hospital.

NPI

1003012014

Provider NameDR. KEITH-AUSTIN SCARFO D.O.
Provider Location Address593 EDDY ST APC 6 PROVIDENCE, RI 02903
Provider Mailing Address117 ELLENFIELD ST SUITE 101 PROVIDENCE, RI 02905
GenderMale
NPI Entity TypeIndividual
Medical School NamePHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year2006
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-26-2007
Last Update Date06-09-2015


Primary Taxonomy

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.DO00785
License StateRI
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

DR. KEITH-AUSTIN SCARFO D.O.
593 EDDY ST
APC 6
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-3777
Fax: (401) 444-7249

Get Directions


Mailing Address

DR. KEITH-AUSTIN SCARFO D.O.
117 ELLENFIELD ST
SUITE 101
PROVIDENCE, RI
ZIP 02905
Phone: (401) 444-6779
Fax: (401) 444-6912



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7618146309
PECOS Enrollment IDI20150216001971
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 92Injections of substances into lower or sacral spine (HCPCS:62311)
  • 48Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64493)
  • 46Injections of lower or sacral spine facet joint using imaging guidance (HCPCS:64494)
  • 24Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Keith-austin Scarfo is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
RHODE ISLAND HOSPITAL593 EDDY STREET
PROVIDENCE, RI 2903
(401) 444-4000Acute Care Hospitals410007
THE MIRIAM HOSPITAL164 SUMMIT AVENUE
PROVIDENCE, RI 2906
(401) 793-2500Acute Care Hospitals410012

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology247764MANo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

2207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineRT-2103NHNo

Taxonomy Description: an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
U400197296MEDICARE PIN (08)RI

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003012014
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200301402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 4 + 0 + 2 + 24 = 36
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 36 = 44

The NPI number 1003012014 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235134495DR. CHANDAN LAKHIANI MD
Individual
Pediatrics593 EDDY ST HASBRO LL
PROVIDENCE, RI 02903
(401) 444-4691
1215933908 RACHEL ALLISON ALTURA MD
Individual
Pediatrics (Pediatric Hematology-Oncology)593 EDDY ST HASBRO LL
PROVIDENCE, RI 02903
(401) 444-5241
1255338240 MOHAMMED FAIZAN M.D.
Individual
Pediatrics (Pediatric Nephrology)593 EDDY ST HASBRO 122
PROVIDENCE, RI 02903
(401) 444-6195
1477551992DR. PETER J QUESENBERRY MD
Individual
Internal Medicine (Hematology & Oncology)593 EDDY ST
PROVIDENCE, RI 02903
(401) 444-4830
1235138843DR. SUSAN L. PLANTE PHARM.D.
Individual
Pharmacist (Pharmacotherapy)593 EDDY ST PHARMACY SERVICES
PROVIDENCE, RI 02903
(401) 444-9075
1710987656 ANTHONY P. MONACO MD
Individual
Surgery593 EDDY ST APC 456
PROVIDENCE, RI 02903
(401) 444-5545
1275533077 ZHANHONG MI CNP
Individual
Nurse Practitioner593 EDDY ST APC 456
PROVIDENCE, RI 02903
(401) 444-5545
1093707655 KEITH B SUNDERLIN PAC
Individual
Physician Assistant593 EDDY ST APC 4
PROVIDENCE, RI 02903
(401) 444-4000
1073500757DR. MARK E. MATTINGLY M.D.
Individual
Internal Medicine593 EDDY ST
PROVIDENCE, RI 02903
(401) 444-3985
1386634756DR. IAN CHARLES MICHELOW MD
Individual
Pediatrics (Pediatric Infectious Diseases)593 EDDY ST
PROVIDENCE, RI 02903
(401) 444-8360
1306837323MS. JO-ANN BERGERON POLSKY BS, MPH, RD
Individual
Nutritionist593 EDDY ST RHODE ISLAND HOSPITAL POB 334
PROVIDENCE, RI 02903
(401) 444-4422
1215919782DR. SUZANNE E MCLAUGHLIN M.D.
Individual
Internal Medicine593 EDDY ST POB-224 MED/PEDS CLINIC
PROVIDENCE, RI 02903
(401) 444-6118
1619950581DR. JAY M. BARUCH M.D.
Individual
Emergency Medicine593 EDDY ST
PROVIDENCE, RI 02903
(401) 519-1604
1083698575 ALI KAZIM M.D.
Individual
Psychiatry & Neurology (Forensic Psychiatry)593 EDDY ST RHODE ISLAND HOSPITAL
PROVIDENCE, RI 02903
(404) 444-4779
1750365797DR. KRISTIN LEE BRUNING MD
Individual
Psychiatry & Neurology (Psychiatry)593 EDDY ST APC 970
PROVIDENCE, RI 02903
(401) 444-4515
1013991926 HUMERA KHURSHID MD
Individual
Internal Medicine (Hematology & Oncology)593 EDDY ST APC MAIN
PROVIDENCE, RI 02903
(401) 444-5435
1407830334 THOMAS ALLEN ROESLER MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)593 EDDY ST PHYSICIAN'S OFFICE BLDG., # 122
PROVIDENCE, RI 02903
(401) 444-4515
1699750067 RICHARD C ARCHAMBAULT EDD
Individual
Marriage & Family Therapist593 EDDY ST POTTER 3
PROVIDENCE, RI 02903
(401) 444-3534
1679559371DR. CELIA MARIA LESCANO PHD
Individual
Psychologist (Clinical)593 EDDY ST APC 970
PROVIDENCE, RI 02903
(401) 444-8539
1467438184DR. ROBYN S MEHLENBECK PHD
Individual
Psychologist (Clinical Child & Adolescent)593 EDDY ST APC 970
PROVIDENCE, RI 02903
(401) 444-8638

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Dr. Keith-austin Scarfo D.o. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.