DR. PETER THOMAS SCULLY M.D.
NPI 1720334493
Pediatrics - Pediatric Critical Care Medicine in Saint Petersburg, FL

Active since July 31, 2012PECOS EnrolledAccepts Medicare Assignment
501 6TH AVE S, SAINT PETERSBURG, FL 33701(727) 767-4343 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 10, 2024, Aug 19, 2019 (2 updates tracked since 2019).

About Dr. Peter Thomas Scully M.d. NPPES

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

DR. PETER THOMAS SCULLY M.D. (NPI 1720334493) is an individual pediatric critical care medicine provider in Saint Petersburg, Florida, licensed in Florida (ME161982) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Baylor College Of Medicine (2012).

NPPES Registry Identity

NPI1720334493
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. PETER THOMAS SCULLYCredential: M.D.
Location Address501 6TH AVE SSaint Petersburg, FL 33701-4634
Mailing Address501 6th Ave S Ste 1.134Saint Petersburg, FL 33701-4634 · (727) 767-8346
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2012
Enumeration DateJuly 31, 2012
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
NPI 1720334493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
Licenses Licensed in FL · ME161982 Licensed in TX · S1704
Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedInternal MedicineTaxonomy 207R00000X · License S1704 (TX)
Also ListedPediatricsTaxonomy 208000000X · License S1704 (TX)
501 6TH AVE S, Saint Petersburg, FL 33701

Secondary Practice Location 1

Location 16431 Fannin St, Suite 1.134Houston, TX 77030-1501 · Phone (713) 500-6525 · Fax (713) 500-6530

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

Dr. Peter Thomas Scully M.d. 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 ID9931437993
PECOS Enrollment IDI20240315000054
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.

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.

Pediatrics
501 6TH AVE S
ST PETERSBURG, FL 33701
Pediatrics
501 6TH AVE S
ST PETERSBURG, FL 33701
Pediatrics
501 6TH AVE S
ST PETERSBURG, FL 33701
Pediatrics
501 6TH AVE S, DEPT 70-6590
ST PETERSBURG, FL 33701
Pediatrics (Pediatric Emergency Medicine)
501 6TH AVE S, DEPT 6941
ST PETERSBURG, FL 33701
Pediatrics (Pediatric Emergency Medicine)
501 6TH AVE S, DEPT 6941
ST PETERSBURG, FL 33701
Nurse Anesthetist, Certified Registered
501 6TH AVE S
ST. PETERSBURG, FL 33701
Nurse Anesthetist, Certified Registered
501 6TH AVE S
ST. PETERSBURG, FL 33701

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 Peter Scully's NPI number?

The NPI number for Peter Scully is 1720334493. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Peter Scully located?

Peter Scully practices at 501 6th Ave S, Saint Petersburg, FL 33701. The listed phone number is (727) 767-4343.

What is Peter Scully's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Peter Scully enrolled in Medicare?

Yes. Peter Scully 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.

When was this NPI record last updated?

The NPPES record for Peter Scully was last updated on April 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.