Individual provider Active NPI

Scott Wayne Oberhoff, M.D.

  • Allergy & Immunology Physician
  • Austin, TX
National Provider Identifier
1528250149
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
N5915 Issued in TX
Practice address
12221 N Mopac Expy
Austin, TX 78758-2401
Phone
(512) 901-4002
Fax
(512) 901-3902
NPI assigned
Aug 16, 2007
Last updated
Feb 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X N5915 TX Primary

Addresses

Primary practice location

12221 N Mopac Expy
Austin, TX 78758-2401

Mailing address

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-4002

Other identifiers 2

IdentifierTypeStateIssuer
341460901MedicaidTX
N5915OtherTXTEXAS STATE BOARD OF MEDICAL EXAMINERS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address SCOTT.OBERHOFF@hca8.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100726000558 TX Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 3375638679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

12221 N Mopac Expy
Austin, TX 78758-2401
Phone (512) 901-2530

5145 FM 620
Austin, TX 78732-1815
Phone (512) 681-5960

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
64.52
Promoting interoperability
100
Improvement activities
40
Cost
73.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N5915TXMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Austin Diagnostic Clinic, PLLC CurrentSince Jun 23, 2014 Accepting new patients
The Austin Diagnostic Clinic, PLLC Current Accepting new patients
Austin Diagnostic Clinic CurrentSince Jun 23, 2014 Accepting new patients
The Austin Diagnostic Clinic, PLLC Past Accepting new patients
Austin Diagnostic Clinic, PA Past Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

1330 Wonder World Dr
Ste 101
San Marcos, TX 78666
Phone (512) 805-0680

Interoperability endpoints

  • Direct secure messaging: 11215-oberhoff-scott@direct.leadingreach.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1528250149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4002",
            "fax_number": "512-901-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 N MOPAC EXPY",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787582401",
            "telephone_number": "512-901-4002",
            "fax_number": "512-901-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERHOFF",
        "first_name": "SCOTT",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "N5915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "341460901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF MEDICAL EXAMINERS",
            "identifier": "N5915",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "SCOTT.OBERHOFF@hca8.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "12221 N Mopac Expy",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787582401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.