Active NPI
Sorbella Maulit Guillermo, M.D.
- Specialist
- Waipahu, HI
National Provider Identifier
1003913146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 8981
- Practice address
- 94-300 Farrington Hwy
#F-8
Waipahu, HI 96797-2648 - Phone
- (808) 677-1433
- Fax
- (808) 677-1676
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 8981 | HI | Primary |
| Internal Medicine Physician | 207R00000X | 8981 | HI |
Addresses
Primary practice location
94-300 Farrington Hwy
#F-8
Waipahu, HI 96797-2648
Mailing address
916 Kilani Ave
Wahiawa, HI 96786-2102
Phone (808) 677-1433
Other practice location 1
916 Kilani Ave
Wahiawa, HI 96786-2102
Phone (808) 621-5042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07620701 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1001 Bishop St
Suite 2685a
Honolulu, HI 96813-3404
Phone (706) 715-3105
94-300 Farrington Hwy
Suite F8
Waipahu, HI 96797-2648
Phone (808) 677-1433
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8981 | HI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Office Force | Internal Medicine | Current | Accepting new patients |
Locations
2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632
1001 Bishop St
Ste 2685A
Honolulu, HI 96813
Phone (706) 715-3105
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Interoperability endpoints
- sorbella.guillermo@28343816421380.direct.elationemr.com
Organizations & group practices 3
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.
-
- Point of Service
- Waipahu, HI
- NPI 1780869693
-
- Health Maintenance Organization
- Waipahu, HI
- NPI 1780861229
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bristol Healthcare Services
- Community Based Hospice Care Agency
- Honolulu, HI
- NPI 1811045594
-
- Home Health Agency
- Honolulu, HI
- NPI 1245299114
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598054400000",
"number": "1003913146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 KILANI AVE",
"city": "WAHIAWA",
"state": "HI",
"postal_code": "967862102",
"telephone_number": "808-677-1433",
"fax_number": "808-677-1676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-300 FARRINGTON HWY",
"address_2": "#F-8",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967972648",
"telephone_number": "808-677-1433",
"fax_number": "808-677-1676"
}
],
"practiceLocations": [
{
"address_1": "916 Kilani Ave",
"address_purpose": "LOCATION",
"city": "Wahiawa",
"state": "HI",
"postal_code": "967862102",
"country_code": "US",
"telephone_number": "808-621-5042",
"fax_number": "808-621-9313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUILLERMO",
"first_name": "SORBELLA",
"middle_name": "MAULIT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"certification_date": "2020-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "8981",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "8981",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07620701",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.