Individual provider Active NPI

Svetlana Shchedrina, MD

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1306258272
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MDR6670 Issued in HI
Practice address
45 Mohouli St Ste 201
Hilo, HI 96720-7210
Phone
(808) 932-3186
NPI assigned
May 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MDR6670 HI Primary

Addresses

Primary practice location

45 Mohouli St Ste 201
Hilo, HI 96720-7210

Mailing address

366 Kahikini St
Hilo, HI 96720-6024
Phone (402) 203-2060

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190523002580 HI Practitioner - Family Practice 0749523298 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Healthcare Medical Associates Inc 109 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

Hospital & facility affiliations

  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDR6670HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Post-Acute Medical Services 1 Inc CurrentSince Jan 10, 2025 Accepting new patients
Quantum Healthcare Medical Associates Inc. Family Medicine CurrentSince Jan 10, 2025 Accepting new patients
Kau Hospital CurrentSince Sep 30, 2019 Accepting new patients
Kau Hospital CurrentSince Sep 30, 2019 Accepting new patients
Hilo Benioff Medical Center CurrentSince Mar 30, 2019 Accepting new patients
Hilo Benioff Medical Center CurrentSince Mar 30, 2019 Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients

Locations

1190 Waianuenue Ave
Fl 1
Hilo, HI 96720

45 Mohouli St
Ste 201
Hilo, HI 96720
Phone (808) 932-3186

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

Interoperability endpoints

  • Direct secure messaging: sshchedrina41855@hhsc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1306258272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 KAHIKINI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967206024",
            "telephone_number": "402-203-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST STE 201",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207210",
            "telephone_number": "808-932-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHCHEDRINA",
        "first_name": "SVETLANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR6670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.