Scott K Ross, MD
Family Medicine in Koloa, HI. Individual provider (NPI-1).
NPI number1720055023
StatusActive
Last updated in NPPESJun 24, 2026
Details
- NPI
- 1720055023
- Entity type
- Individual (NPI-1)
- Name
- Scott K Ross
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2006
- Certification date
- Jun 24, 2026
- Last updated
- Jun 24, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD61382215 | WA | Yes |
| 207Q00000X | Family Medicine | H2739 | TX |
Practice location
2829 Ala Kalanikaumaka St.Ste. B201
Koloa, HI 96756
Phone 808-742-0990
Mailing address
P.O. Box 337Waimea, HI 96796
Phone 808-338-9431
Other practice locations
83 Retail Commons Pkwy
Martinsburg, WV 25403-6172
Martinsburg, WV 25403-6172
Phone 304-264-9730
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Other Family Medicine Physician providers in Koloa, HI
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