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

NPI Status: Active since April 22, 2008

Contact Information

3000 NEW BERN AVE
PEDIATRIC EMERGENCY MEDICINE FELLOWSHIP PROGRAM
RALEIGH, NC
ZIP 27610
Phone: (919) 350-7828

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  • Individual
  • Male
  • Pediatrics
  • Pediatric Emergency Medicine
  • PECOS Enrolled

About SCOTT CONNELLY

This page provides the complete NPI Profile along with additional information for Scott Connelly, a pediatrician established in Raleigh, North Carolina with a medical specialization in Pediatrics, focusing in pediatric emergency medicine . The healthcare provider is registered in the NPI registry with number 1750555637 assigned on April 2008. The practitioner's primary taxonomy code is 2080P0204X with license number 2010-00935 (NC). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1750555637
Provider Name
DR. SCOTT VINCENT CONNELLY MD
Gender
Male
Entity Type
Individual
Location Address
3000 NEW BERN AVE PEDIATRIC EMERGENCY MEDICINE FELLOWSHIP PROGRAM RALEIGH, NC 27610
Location Phone
(919) 350-7828
Mailing Address
9220 BOTHWELL ST APT 107 RALEIGH, NC 27617
Mailing Phone
(856) 313-9436
Is Sole Proprietor?
No
Enumeration Date
04-22-2008
Last Update Date
04-11-2013
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A pediatrician like Scott Connelly is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics Pediatric Emergency Medicine

Taxonomy Code
2080P0204X
Type
Allopathic & Osteopathic Physicians
License No.
2010-00935
License State
NC
Taxonomy Description
A pediatrician who has special qualifications to manage emergencies in infants and children.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208000000XAllopathic & Osteopathic Physicians

Pediatrics

2010-00935 (NC)

Medicare Participation & PECOS Enrollment Status

Scott Connelly is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. SCOTT VINCENT CONNELLY MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750555637
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001051066
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 5 + 1 + 0 + 6 + 6 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1750555637 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972508661 GEORGE RAYBURN CHEELY M.D.
Individual
Internal Medicine (Cardiovascular Disease)3000 NEW BERN AVE STE 1200
RALEIGH, NC 27610
(919) 231-6132
1295731784DR. CHARLES A MANGANO JR. M.D.
Individual
Internal Medicine (Cardiovascular Disease)3000 NEW BERN AVE STE 1200
RALEIGH, NC 27610
(919) 231-6132
1447256946DR. VIRGIL H WYNIA M.D.
Individual
Internal Medicine (Interventional Cardiology)3000 NEW BERN AVE STE 1200
RALEIGH, NC 27610
(919) 231-6132
1326044827DR. AMARENDRA B REDDY M.D.
Individual
Internal Medicine (Interventional Cardiology)3000 NEW BERN AVE STE 1200
RALEIGH, NC 27610
(919) 231-6132
1972501666DR. MICHAEL JAY ZELLINGER M.D.
Individual
Internal Medicine (Cardiovascular Disease)3000 NEW BERN AVE G-100
RALEIGH, NC 27610
(919) 231-8253
1437157138DR. JOEL EVAN SCHNEIDER M.D.
Individual
Internal Medicine (Interventional Cardiology)3000 NEW BERN AVE G-100
RALEIGH, NC 27610
(919) 231-8253
1124026695DR. JAMES TIFT MANN III M.D.
Individual
Internal Medicine (Interventional Cardiology)3000 NEW BERN AVE G-100
RALEIGH, NC 27610
(919) 231-8253
1003814575DR. JAMES ROBERT FOSTER M.D.
Individual
Internal Medicine (Clinical Cardiac Electrophysiology)3000 NEW BERN AVE G-100
RALEIGH, NC 27610
(919) 231-8253
1962400408DR. ROBERT BENJAMIN WESLEY II M.D.
Individual
Internal Medicine (Cardiovascular Disease)3000 NEW BERN AVE G-100
RALEIGH, NC 27610
(919) 231-8253
1891776142MR. JUSTIN JOHN DREW P.A.-C
Individual
Physician Assistant (Medical)3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378
1104809730CAROLINA CARDIOVASCULAR SURGICAL ASSOCIATES P.A.
Organization
Internal Medicine (Cardiovascular Disease)3000 NEW BERN AVE STE 1100
RALEIGH, NC 27610
(919) 231-6333
1962464263 CRAIG R FRATER MD
Individual
Emergency Medicine3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378
1942262142 DOUGLAS R TROCINSKI MD
Individual
Emergency Medicine3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378
1588626741 HERBERT L MYLES JR. MD
Individual
Emergency Medicine3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378
1467414672 EDUARDO PIQUERAS MD
Individual
Emergency Medicine3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378
1528020799 JERFI D CICIN DO
Individual
Emergency Medicine3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378
1831151018 AIMEE R ANDREWS MD
Individual
Emergency Medicine3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378
1740242924 AMY WEIGAND GRIFFIN MD
Individual
Emergency Medicine3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378
1659333839 BENJAMIN T GERMAN MD
Individual
Emergency Medicine3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378
1568424745 BRENDAN C BERRY MD
Individual
Emergency Medicine3000 NEW BERN AVE
RALEIGH, NC 27610
(843) 237-3378

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750555637, enumerated in the NPI registry as an "individual" on April 22, 2008

The provider is located at 3000 New Bern Ave Pediatric Emergency Medicine Fellowship Program Raleigh, Nc 27610 and the phone number is (919) 350-7828

The provider's speciality is Pediatrics with taxonomy code 2080P0204X with a focus in Pediatric Emergency Medicine

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on April 22, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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