SCOTT J. MISCOVICH MD, LLC
NPI 1073796868
Family Medicine in Kaneohe, HI
About Scott J. Miscovich Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SCOTT J. MISCOVICH MD, LLC (NPI 1073796868) is a healthcare organization registered as a family medicine in Kaneohe, Hawaii and active in the NPI registry since December 2007. The organization holds a CLIA Microscopy certificate valid through July 10, 2027 and lists Rene Noelle Mansanas, Executive Vice President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Scott J. Miscovich Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Scott J. Miscovich MD, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 12D1014638
Scott J Miscovich, MD · Kaneohe, HIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Scott J. Miscovich MD, LLC's NPI number?
The NPI number for Scott J. Miscovich MD, LLC is 1073796868. It was assigned to this organization in the NPPES registry on December 14, 2007.
Where is Scott J. Miscovich MD, LLC located?
Scott J. Miscovich MD, LLC is located at 46-001 Kamehameha Hwy Ste 109, Kaneohe, HI 96744. The listed phone number is (808) 247-7596.
What is Scott J. Miscovich MD, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Scott J. Miscovich MD, LLC enrolled in Medicare?
Yes. Scott J. Miscovich MD, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Scott J. Miscovich MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Scott J. Miscovich MD, LLC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Scott J. Miscovich MD, LLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 12D1014638) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Scott J. Miscovich MD, LLC was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Scott J. Miscovich Md, Llc · NPI 1073796868
Family Medicine organization in Kaneohe, Hawaii. Organization record, active in the CMS NPPES registry since December 14, 2007.
## Identity
- **NPI:** 1073796868 (Entity type: Organization)
- **Enumerated:** December 14, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Rene Mansanas, EXECUTIVE VICE PRESIDENT
## Practice location
- **Address:** 46-001 KAMEHAMEHA HWY STE 109, Kaneohe, HI 96744-3724
- **Phone:** (808) 247-7596
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2024
- **Other identifiers:** Medicaid 05672605 (HI); Other T065197 (HI)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073796868) · Data from the CMS NPPES public registry.