Individual provider Active NPI

Scott D McDowall, M.D.

  • Nephrology Physician
  • St Augustine, FL
National Provider Identifier
1982829982
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME104843 Issued in FL
Practice address
100 Whetstone PL
Suite 206
St Augustine, FL 32086-5774
Phone
(904) 429-9892
Fax
(904) 217-7631
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X ME104843 FL Primary

Addresses

Primary practice location

100 Whetstone PL
Suite 206
St Augustine, FL 32086-5774

Mailing address

PO Box 840162
St Augustine, FL 32080-0162
Phone (904) 429-9892

Other identifiers 3

IdentifierTypeStateIssuer
1466ZOtherFLBCBS
001091400MedicaidFL
P00407138OtherFLRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20091109000393 FL Practitioner - Internal MedicinePractitioner - Nephrology 1153422340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scott D McDowall PLLCGroup PAC ID 2769703925, 3 clinicians

Practice addresses (Care Compare)

100 Whetstone PL
Suite 205
St Augustine, FL 32086-5775

100 Whetstone Place
St Augustine, FL 32086-5775
Phone (904) 429-9892

Hospital & facility affiliations

  • FMC Dialysis Services - Saint Augustine Dialysis facility, Saint Augustine, FL, CCN 102557
  • Fresenius Kidney Care St Augustine South Dialysis facility, Saint Augustine, FL, CCN 682628
  • Bma - Palatka Dialysis facility, Palatka, FL, CCN 102676
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090
  • AdventHealth Palm Coast Hospital, Palm Coast, FL, CCN 100118
  • Adventhealth Palm Coast Parkway Hospital, Palm Coast, FL, CCN 100363
  • HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232
  • Baptist Health Medical Center - Jacksonville Hospital, Jacksonville, FL, CCN 100088

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as apm
Quality
77.66
Promoting interoperability
70.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Scott D McDowall PLLC Nephrology CurrentSince Apr 1, 2015 Accepting new patients
Amir a Malik MD PA Nephrology Past Accepting new patients

Locations

100 Whetstone Pl
Ste 206
St Augustine, FL 32086
Phone (904) 217-3545

100 Whetstone Pl
Ste 205
St Augustine, FL 32086
Phone (904) 429-9892

Interoperability endpoints

  • Direct secure messaging: smcdowall743896@direct.shands.ufl.edu

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 8

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433203200000",
    "number": "1982829982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840162",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320800162",
            "telephone_number": "904-429-9892",
            "fax_number": "904-217-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WHETSTONE PL",
            "address_2": "SUITE 206",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865774",
            "telephone_number": "904-429-9892",
            "fax_number": "904-217-7631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWALL",
        "first_name": "SCOTT",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2015-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME104843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1466Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001091400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00407138",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.