Individual provider Active NPI

Scott John Miscovich, M.D.

  • Family Medicine Physician
  • Kaneohe, HI
National Provider Identifier
1669529400
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 6854 Issued in HI
Practice address
46-001 Kamehameha Hwy Ste 109
Kaneohe, HI 96744-3724
Phone
(808) 247-7596
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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 MD 6854 HI Primary

Addresses

Primary practice location

46-001 Kamehameha Hwy Ste 109
Kaneohe, HI 96744-3724

Mailing address

46-001 Kamehameha Hwy Ste 109
Kaneohe, HI 96744-3724
Phone (808) 247-7596

Other practice location 1

46-001 Kamehameha Hwy Ste 107
Kaneohe, HI 96744-3720
Phone (808) 234-1094

Other practice location 2

45-1144 Kamehameha Hwy Ste 500
Kaneohe, HI 96744-3226
Phone (808) 247-9408

Other identifiers 2

IdentifierTypeStateIssuer
65197OtherHIHMSA
05672605MedicaidHI

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
I20100924000505 HI Practitioner - Family Practice 9931098506 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Yale University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Windward Urgent Care Services LLCGroup PAC ID 5698098796, 4 clinicians
Scott J Miscovich MD LLCGroup PAC ID 2961391537, 8 clinicians

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

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Adventist Health Home Care Services Home health agency, Kaneohe, HI, CCN 127017
  • Bristol Hospice - Hawaii, LLC Hospice, Honolulu, HI, CCN 121508
  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 6854HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portner Orthopedic Rehabilitation Incorporated CurrentSince Jul 15, 2018 Accepting new patients
SJM Premier Medical Group, LLC CurrentSince Aug 25, 2020 Accepting new patients
Hawaii Homeless Healthcare Hui PastSince Oct 20, 2017 Accepting new patients

Locations

1132 Bishop St
Ste 1110
Honolulu, HI 96813
Phone (808) 537-1164

45-1144 Kamehameha Hwy
Ste 500
Kaneohe, HI 96744
Phone (808) 247-7596

46-001 Kamehameha Hwy
Ste 109
Kaneohe, HI 96744
Phone (808) 247-7596

Interoperability endpoints

  • Direct secure messaging: scott.miscovich@hawaiihie.medicity.net
  • Direct secure messaging: scott.miscovich@809341831872516.direct.elationemr.com
  • Direct secure messaging: scott.miscovich@24530103894020.direct.elationemr.com

Organizations & group practices 5

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 7

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1669529400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 109",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443724",
            "telephone_number": "808-247-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 109",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443724",
            "telephone_number": "808-247-7596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "46-001 Kamehameha Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967443720",
            "country_code": "US",
            "telephone_number": "808-234-1094",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45-1144 Kamehameha Hwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967443226",
            "country_code": "US",
            "telephone_number": "808-247-9408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISCOVICH",
        "first_name": "SCOTT",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD 6854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "65197",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05672605",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.