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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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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.

GEORGE RAYBURN CHEELY M.D.
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Wake County (919) 231-6132
DR. CHARLES A MANGANO JR. M.D.
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Wake County (919) 231-6132
DR. VIRGIL H WYNIA M.D.
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Wake County (919) 231-6132
DR. AMARENDRA B REDDY M.D.
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, STE 1200
RALEIGH, NC 27610
Wake County (919) 231-6132
DR. MICHAEL JAY ZELLINGER M.D.
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Wake County (919) 231-8253
DR. JAMES TIFT MANN III M.D.
Internal Medicine (Interventional Cardiology)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Wake County (919) 231-8253
DR. JAMES ROBERT FOSTER M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Wake County (919) 231-8253
DR. ROBERT BENJAMIN WESLEY II M.D.
Internal Medicine (Cardiovascular Disease)
3000 NEW BERN AVE, G-100
RALEIGH, NC 27610
Wake County (919) 231-8253

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.

When was this NPI record last updated?

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