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DR. SCOTT VINCENT CONNELLY MD
NPI 1750555637
Pediatrics - Pediatric Emergency Medicine in Raleigh, NC

Active since April 22, 2008PECOS Enrolled
3000 NEW BERN AVE, PEDIATRIC EMERGENCY MEDICINE FELLOWSHIP PROGRAM, RALEIGH, NC 27610(919) 350-7828 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Scott Vincent Connelly Md NPPES

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

DR. SCOTT VINCENT CONNELLY MD (NPI 1750555637) is an individual pediatric emergency medicine provider in Raleigh, North Carolina, licensed in North Carolina (2010-00935) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750555637
Entity TypeIndividualMale
Primary Taxonomy2080P0204X
Provider Legal NameDR. SCOTT VINCENT CONNELLYCredential: MD
Location Address3000 NEW BERN AVE, PEDIATRIC EMERGENCY MEDICINE FELLOWSHIP PROGRAMRaleigh, NC 27610-1231
Mailing Address9220 Bothwell St, Apt 107Raleigh, NC 27617-4393 · (856) 313-9436
Phone(919) 350-7828
Sole ProprietorNo
Enumeration DateApril 22, 2008
Last NPPES UpdateApril 11, 2013
✔ NPI 1750555637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in NC · 2010-00935
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedPediatricsTaxonomy 208000000X · License 2010-00935 (NC)
3000 NEW BERN AVE, Raleigh, NC 27610
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Scott Vincent Connelly 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.

Medicare Billing Reassignment

Medicare enrollment records show Scott Connelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Emergency Physicians PA
Same address
Emergency Medicine
3000 NEW BERN AVE
Raleigh, NC 27610
  • Reassigned Medicare billing, North Carolina enrollment
  • 182 clinicians in this Medicare group
NPI 1922063387 (843) 237-3378

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JILL M PAPPALARDI M.D.
Hospitalist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
MS. TONYA R GABLE LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-4163
MS. HOLLY H HEAD P-LCSW
Social Worker (Clinical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-7445
KATHLEEN VALERIE FIGLER CFNP
Nurse Practitioner (Family)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8779
MRS. BAILEY HARDY UNDERHILL PA-C
Physician Assistant (Medical)
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
DR. SERDAL AKTOLGA M.D.
Internal Medicine
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000
JESSICA CARTEE HOWE MS-CCC/SLP
Speech-Language Pathologist
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 684-6271
ELIZABETH WILLIS DO
Anesthesiology
3000 NEW BERN AVE
RALEIGH, NC 27610
Wake County (919) 350-8000

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 Scott Connelly's NPI number?

The NPI number for Scott Connelly is 1750555637. It was assigned to this individual provider in the NPPES registry on April 22, 2008.

Where is Scott Connelly located?

Scott Connelly practices at 3000 New Bern Ave Pediatric Emergency Medicine Fellowship Program, Raleigh, NC 27610. The listed phone number is (919) 350-7828.

What is Scott Connelly's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Scott Connelly enrolled in Medicare?

Yes. Scott Connelly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Scott Connelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Connelly reassigns Medicare benefits to Wake Emergency Physicians PA (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Scott Connelly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Scott Connelly was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.