Individual provider Active NPI

Scott R Florell, M.D.

  • Dermatopathology Physician
  • Princeville, HI
National Provider Identifier
1689692576
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
MD-21397 Issued in HI
Practice address
4488 Hanalei Plantation Rd
Princeville, HI 96722-5462
Phone
(808) 320-7300
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2761741205 UT
Dermatopathology Physician 207ND0900X 2761741205 UT
Procedural Dermatology Physician 207NS0135X 276174-1205 UT
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 276174-1205 UT
Dermatopathology Physician 207ND0900X MD-21397 HI Primary

Addresses

Primary practice location

4488 Hanalei Plantation Rd
Princeville, HI 96722-5462

Mailing address

PO Box 3208
Salt Lake City, UT 84110-3208
Phone (801) 587-6340

Other identifiers 10

IdentifierTypeStateIssuer
001150MedicaidHI
J0854MedicaidNM
299802MedicaidOR
806454201MedicaidID
870468377001MedicaidUT
002082905MedicaidNV
3020636MedicaidCA
0059631MedicaidMT
249747104AMedicaidGA
8416273MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sflorell37995@direct.med.utah.edu Direct UNIVERSITY OF UTAH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, HI2 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
I20040426000605 UT Practitioner - DermatologyPractitioner - Pathology 9931195708 Reassigns benefits to 3 organizations
I20210319001281 HI Practitioner - Dermatology 9931195708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Nebraska College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Makana North Shore DermatologyGroup PAC ID 1951891902, 7 clinicians
University of Utah Adult ServicesGroup PAC ID 0941525273, 1,758 clinicians
Dermatology Division University of Utah Medical CenterGroup PAC ID 9638073497, 73 clinicians

Practice addresses (Care Compare)

4488 Hanalei Plantation Rd
Princeville, HI 96722-5462
Phone (808) 320-7300

50 N Medical Dr
Salt Lake City, UT 84132-0001
Phone (801) 581-2121

50 N Medical Dr
Salt Lake City, UT 84132-0100
Phone (801) 213-2995

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.77 of 100Reported as group
Quality
91.47
Promoting interoperability
100
Improvement activities
40
Cost
74.42

Merit-based Incentive Payment System (MIPS)

Final score
81.84 of 100Reported as group
Quality
87.03
Promoting interoperability
100
Improvement activities
40
Cost
52.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions65
Removal or shaving of skin growth1-10
Skin biopsy13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2761741205UTMDDermatology Physician
MD-21397HIMDDermatopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
Dermatology Division University of Utah Medical Center Dermatology CurrentSince Feb 7, 2012 Accepting new patients
The Makana North Shore Clinic CurrentSince Jan 31, 2021 Accepting new patients
University of Utah Pediatric Services CurrentSince Jan 1, 2017 Accepting new patients
University of Utah Adult Services Current Accepting new patients
University of Utah Adult Services CurrentSince Apr 1, 2015 Accepting new patients
University of Utah Pediatric Services Current Accepting new patients
University of Utah Pediatric Services CurrentSince Jan 1, 2017 Accepting new patients
Makana North Shore Dermatology Dermatology CurrentSince Sep 2, 2025 Accepting new patients
U-U Pediatric Dermatology PastSince May 24, 2020 Accepting new patients

Locations

4488 Hanalei Plantation Rd
Princeville, HI 96722
Phone (808) 320-7300

417 S Wakara Way
Salt Lake City, UT 84108
Phone (801) 581-3506

127 S 500 E
Salt Lake Cty, UT 84102

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

100 N Mario Capecchi Dr
Slc, UT 84113
Phone (801) 587-7109

Interoperability endpoints

  • Direct secure messaging: sflorell37995@direct.med.utah.edu

Organizations & group practices 10

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 3

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1689692576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3208",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841103208",
            "telephone_number": "801-587-6340",
            "fax_number": "801-587-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 HANALEI PLANTATION RD",
            "city": "PRINCEVILLE",
            "state": "HI",
            "postal_code": "967225462",
            "telephone_number": "808-320-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORELL",
        "first_name": "SCOTT",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "UT",
            "license": "2761741205",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
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            "license": "2761741205",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "UT",
            "license": "276174-1205",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "UT",
            "license": "276174-1205",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "HI",
            "license": "MD-21397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
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        },
        {
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            "identifier": "002082905",
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            "identifier": "3020636",
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        {
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            "issuer": null,
            "identifier": "0059631",
            "state": "MT"
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        {
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            "state": "GA"
        },
        {
            "code": "05",
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    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sflorell37995@direct.med.utah.edu",
            "affiliation": "Y",
            "affiliationName": "UNIVERSITY OF UTAH",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "50 N Medical Dr",
            "city": "Salt Lake City",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841320001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Princeville, HI

Sources for this page

Verify at the official NPI Registry.