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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANE SCAVELLO PA
NPI 1205437498
Physician Assistant - Surgical in Warwick, RI

Active since November 04, 2020PECOS Enrolled
455 TOLL GATE RD, WARWICK, RI 02886(401) 737-7010(401) 738-0013 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 28, 2022, Nov 4, 2020 (2 updates tracked since 2020).

About Shane Scavello Pa NPPES

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

SHANE SCAVELLO PA (NPI 1205437498) is an individual surgical provider in Warwick, Rhode Island, licensed in Rhode Island (PA01516) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS, is affiliated with Tristar Centennial Medical Center, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1205437498
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSHANE SCAVELLOCredential: PA
Location Address455 TOLL GATE RDWarwick, RI 02886-2759
Mailing Address455 Toll Gate RdWarwick, RI 02886-2759 · (401) 273-0641 · Fax (401) 273-2919
Phone(401) 737-7010
Fax(401) 738-0013
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 4, 2020
Last NPPES UpdateOctober 23, 20262 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1205437498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in RI · PA01516
455 TOLL GATE RD, Warwick, RI 02886
Open in Google Maps ↗

Secondary Practice Location 1

Location 1101 Dudley StProvidence, RI 02905-2401 · Phone (401) 274-1122 · Fax (401) 453-7666

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shane Scavello Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850799305
PECOS Enrollment IDI20251211000068
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tristar Centennial Medical Center

Acute Care Hospitals · Nashville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440161
Location2300 Patterson StreetNashville, TN 37203 · Davidson County
Emergency services Birthing friendly

Saint Thomas Hospital For Spinal Surgery

Acute Care Hospitals · Nashville, TN
OwnershipVoluntary non-profit - Other
CMS Certification Number440218
Location2011 Murphy AvenueNashville, TN 37203 · Davidson County

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STERLING LEAF MALISH M.D.
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
MRS. JENNIFER JENNINGS NP
Nurse Practitioner (Adult Health)
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
SABRINA O'DONNELL FNP-BC
Nurse Practitioner (Family)
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
CHRISTOPHER BAZE DO
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
KELLY SANCHEZ MD
Family Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
KENNETH ROBERT LARSEN D.O
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 736-4289
JOHN A GELZHISER M.D.
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
RICHARD J PEDRO D.O.
Anesthesiology
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010

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 Shane Scavello's NPI number?

The NPI number for Shane Scavello is 1205437498. It was assigned to this individual provider in the NPPES registry on November 4, 2020.

Where is Shane Scavello located?

Shane Scavello practices at 455 Toll Gate Rd, Warwick, RI 02886. The listed phone number is (401) 737-7010.

What is Shane Scavello's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shane Scavello enrolled in Medicare?

Yes. Shane Scavello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shane Scavello accept?

Health plans from UnitedHealthcare list Shane Scavello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shane Scavello affiliated with any hospitals?

According to CMS data, Shane Scavello is affiliated with Tristar Centennial Medical Center and Saint Thomas Hospital For Spinal Surgery.

When was this NPI record last updated?

The NPPES record for Shane Scavello was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.