Active NPI
Andrew Scott Miscovich, PA-S
- Student in an Organized Health Care Education/Training Program
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367 - Phone
- (206) 616-4001
- NPI assigned
- Aug 31, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367
Mailing address
4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367
Other practice location 1
150 Kailuana Pl
Kailua, HI 96734-1667
Phone (808) 721-5780
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
46-001 Kamehameha Hwy
Suite 107
Kaneohe, HI 96744-3720
Phone (808) 234-1094
46-001 Kamehameha Hwy
Suite 109
Kaneohe, HI 96744-3724
Phone (808) 247-7596
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portner Orthopedic Rehabilitation Incorporated | Past | Accepting new patients |
Interoperability endpoints
- andrew.miscovich@24530103894020.direct.elationemr.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Kaneohe, HI
- NPI 1073796868
-
- Urgent Care Clinic/Center
- Kaneohe, HI
- NPI 1467854125
-
- Physical Medicine & Rehabilitation Physician
- Kaneohe, HI
- NPI 1316087315
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630368000000",
"number": "1023786431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 11TH AVE NE STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 11TH AVE NE STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056367",
"telephone_number": "206-616-4001"
}
],
"practiceLocations": [
{
"address_1": "150 Kailuana Pl",
"address_purpose": "LOCATION",
"city": "Kailua",
"state": "HI",
"postal_code": "967341667",
"country_code": "US",
"telephone_number": "808-721-5780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISCOVICH",
"first_name": "ANDREW",
"middle_name": "SCOTT",
"credential": "PA-S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2021-08-31",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.