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NICHOLAS SCOTT-WITTENBORN MD
NPI 1053817825
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since April 02, 2018PECOS Enrolled
913 W MAIN ST APT 509, OKLAHOMA CITY, OK 73106(908) 227-3062 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas Scott-wittenborn Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS SCOTT-WITTENBORN MD (NPI 1053817825) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053817825
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS SCOTT-WITTENBORNCredential: MD
Location Address913 W MAIN ST APT 509Oklahoma City, OK 73106-7917
Mailing Address40 N Kingshighway Blvd Apt 4eSaint Louis, MO 63108-1350 · (908) 227-3062
Phone(908) 227-3062
Sole ProprietorNo
Enumeration DateApril 2, 2018
Last NPPES UpdateJune 13, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1053817825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 45380 (OK)
913 W MAIN ST APT 509, Oklahoma City, OK 73106
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Scott-wittenborn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Scott-wittenborn's NPI number?

The NPI number for Nicholas Scott-wittenborn is 1053817825. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Nicholas Scott-wittenborn located?

Nicholas Scott-wittenborn practices at 913 W Main St Apt 509, Oklahoma City, OK 73106. The listed phone number is (908) 227-3062.

What is Nicholas Scott-wittenborn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Scott-wittenborn enrolled in Medicare?

Yes. Nicholas Scott-wittenborn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Scott-wittenborn was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.