Individual provider Active NPI

Scott Joseph Habakus, D.O.

  • Diagnostic Radiology Physician
  • Goose Creek, SC
National Provider Identifier
1689779662
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
1028 Issued in SC
Practice address
110 Nnptc Cir
Goose Creek, SC 29445-6314
Phone
(843) 792-1414
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1028 SC Primary

Addresses

Primary practice location

110 Nnptc Cir
Goose Creek, SC 29445-6314

Mailing address

110 Nnptc Cir
Goose Creek, SC 29445-6314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX2 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
I20071019000073 SC Practitioner - Diagnostic Radiology 2769585314 Reassigns benefits to 4 organizations
I20201207002274 TX Practitioner - Diagnostic Radiology 2769585314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Philadelphia College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pomona Valley Imaging Medical Group IncGroup PAC ID 6709898562, 22 clinicians

Practice addresses (Care Compare)

2457 Daniel Island Dr
Daniel Island, SC 29492-8281
Phone (909) 865-9500

Hospital & facility affiliations

  • Pomona Valley Hospital Medical Center Hospital, Pomona, CA, CCN 050231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1028SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pomona Valley Imaging Medical Group Inc CurrentSince Mar 1, 2026 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Oct 9, 2020 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jun 5, 2025 Accepting new patients
Medical University Hospital Authority CurrentSince Mar 1, 2023 Accepting new patients
Medical University Hospital Authority Current Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Musc Community Physicians CurrentSince May 15, 2023 Accepting new patients
Medical University Hospital Authority CurrentSince Mar 1, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Jun 5, 2025 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology Past Accepting new patients
Southern MRI Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

511 S Main St
Mullins, SC 29574
Phone (843) 464-8244

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 13

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.

View all 13

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1689779662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 NNPTC CIR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 NNPTC CIR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294456314",
            "telephone_number": "843-792-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABAKUS",
        "first_name": "SCOTT",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "1028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

Verify at the official NPI Registry.