Scott K Ross, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD61382215 Issued in WA

Practice address

2829 Ala Kalanikaumaka St.
Ste. B201
Koloa, HI 96756

Phone

(808) 742-0990

NPI assigned

Mar 6, 2006

Last updated

Jun 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX, WV, HI3 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 3

Specialty

Family Practice

Education

Baylor College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Samuel Mahelona Memorial Hospital Hospital, Kapaa, HI, CCN 121306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: scott.ross.1@27404.direct.athenahealth.com
• Direct secure messaging: sross8015@shannonhealth.direct-ci.com

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.

• Samuel Mahelona Memorial Hospital

  • Specialist
  • Kapa'a, HI
  • NPI 1346419553
  Medicare reassignment Care Compare group NPD
• Shannon Clinic

  • Family Medicine Physician
  • San Angelo, TX
  • NPI 1770587149
  Medicare reassignment NPD
• Bernard T Swift Jr., DO

  • Occupational Medicine Physician
  • San Antonio, TX
  • NPI 1497722235
  Medicare reassignment
• Samuel Mahelona Memorial Hospital

  • Psychiatric Hospital Unit
  • Kapa'a, HI
  • NPI 1255406575
  NPD
• Samuel Mahelona Memorial Hospital

  dba HHSC - Kauai Region Clinics The Clinic at Waimea

  • Rural Health Clinic/Center
  • Waimea, HI
  • NPI 1669068680
  NPD
• Shannon Clinic

  dba Vista Verde Medical Plaza

  • Pediatrics Physician
  • Del Rio, TX
  • NPI 1790986719

  Family Medicine

  NPD
• Ozark Tri-County Health Care Consortium

  dba Access Family Care

  • Federally Qualified Health Center (FQHC)
  • Joplin, MO
  • NPI 1538151733
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Samuel Mahelona Memorial Hospital

  • Critical Access Hospital
  • Kapa'a, HI
  • NPI 1619038536
  Care Compare affiliation

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

{
    "created_epoch": "1141603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1720055023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 337",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "808-338-9431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 ALA KALANIKAUMAKA ST.",
            "address_2": "STE. B201",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "96756",
            "telephone_number": "808-742-0990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Retail Commons Pkwy",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254036172",
            "country_code": "US",
            "telephone_number": "304-264-9730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "SCOTT",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-06",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61382215",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2739",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "H2739",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicoxy.et0764.epichosted.com/FHIRProxy/api/FHIR/Rpr4/",
            "affiliation": "N",
            "address_1": "840 E Hill Ave",
            "city": "Moses Lake",
            "state": "WA",
            "country_code": "US",
            "postal_code": "988372238",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanette Nguyen, APRN
• Holly Marie Poag, D.O.
• Poipu MD, LLC (Poipu Mobile MD)
• Puuwai Professional Enterprises, LLC (Poipu Urgent Care)
• Shalyn R Rosek, LCSW
• Samuel Mahelona Memorial Hospital (HHSC - Kauai Region Clinics Urgent Care at Poipu)
• Jordan Sleeth, LCSW
• Margaret Bubon Smith, MA
• Soul Spot Non-Profit Inc
• Thrive Pediatric Therapy LLC

• Family Medicine Physician in Koloa, HI
• Providers in Koloa, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.