Individual provider Active NPI

Alfred Agsalog Ines, MD

  • Specialist
  • Waipahu, HI
National Provider Identifier
1013084441
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6077 Issued in HI
Practice address
94-216 Farrington Hwy Ste B2-305
Waipahu, HI 96797-1922
Phone
(808) 671-8877
Fax
(808) 671-1453
NPI assigned
Nov 29, 2006
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6077 HI Primary

Addresses

Primary practice location

94-216 Farrington Hwy Ste B2-305
Waipahu, HI 96797-1922

Mailing address

94-216 Farrington Hwy Unit Box 334
Waipahu, HI 96797-1922
Phone (808) 671-8877

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001460 HI Practitioner - General Surgery 6608801782 Reassigns benefits to 1 organization
Practice locations: Waipahu, HI

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Mastectomy1-10
Coronary artery bypass graft (CABG)15
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6077HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Jul 16, 2012 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jul 16, 2012 Accepting new patients
Alfred a. Ines, MD Specialist PastSince Apr 1, 2010 Accepting new patients

Locations

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: alfred.ines.p1@direct.wcchc.nextgenshare.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.

Hospital & facility affiliations 1

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1013084441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY UNIT BOX 334",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-671-8877",
            "fax_number": "808-671-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY STE B2-305",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-671-8877",
            "fax_number": "808-671-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INES",
        "first_name": "ALFRED",
        "middle_name": "AGSALOG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "6077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.