Individual provider Active NPI

Scott A Nadenik, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Ocala, FL
National Provider Identifier
1568459592
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
OS0007636 Issued in FL
Practice address
2120 SW 22ND PL
Ocala, FL 34471-7765
Phone
(352) 732-5042
Fax
(352) 732-6031
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X OP70061477 WA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X OP70061477 WA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X OS0007636 FL Primary

Addresses

Primary practice location

2120 SW 22ND PL
Ocala, FL 34471-7765

Mailing address

2120 SW 22ND PL
Ocala, FL 34471-7765
Phone (352) 732-5042

Other practice location 1

834 Sheridan St # T
Port Townsend, WA 98368-2443
Phone (360) 344-1012

Other identifiers 6

IdentifierTypeStateIssuer
254812700MedicaidFL
4544150OtherFLAETNA PROVIDER NUMBER
146961OtherFLHEALTHEASE/WELLCARE
56727OtherFLBLUE CROSS PROVIDER #
243186OtherFLAVMED PROVIDER NUMBER
040012994OtherFLRAILROAD MEDICARE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050317000166 FL Practitioner - Otolaryngology 0840245395 Reassigns benefits to 1 organization
I20260327002799 WA Practitioner - Otolaryngology 0840245395 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Chicago College of Osteopathy, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

834 Sheridan St
Port Townsend, WA 98368-2443

PO Box
Suite 104546
Pasadena, CA 91189-4546

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OP70061477WAMDOtolaryngology Physician
OS0007636FLMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Management of Ocala Inc Otolaryngology CurrentSince Dec 1, 2007 Accepting new patients

Locations

2120 SW 22nd Pl
Ocala, FL 34471
Phone (352) 732-5042

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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 5

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1568459592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 SW 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717765",
            "telephone_number": "352-732-5042",
            "fax_number": "352-732-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 SW 22ND PL",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717765",
            "telephone_number": "352-732-5042",
            "fax_number": "352-732-6031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "834 Sheridan St # T",
            "address_purpose": "LOCATION",
            "city": "Port Townsend",
            "state": "WA",
            "postal_code": "983682443",
            "country_code": "US",
            "telephone_number": "360-344-1012",
            "fax_number": "360-344-3085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADENIK",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "OP70061477",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "WA",
            "license": "OP70061477",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "OS0007636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254812700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4544150",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHEASE/WELLCARE",
            "identifier": "146961",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER #",
            "identifier": "56727",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED PROVIDER NUMBER",
            "identifier": "243186",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE NUMBER",
            "identifier": "040012994",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.