Active NPI
Frederick Alan Nitta, M.D.
- Obstetrics & Gynecology Physician
- Hilo, HI
National Provider Identifier
1023119385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD6338
- Practice address
- 670 Ponahawai St
Suite 200
Hilo, HI 96720-2660 - Phone
- (808) 961-5922
- Fax
- (808) 969-1924
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD6338 | HI | Primary |
Addresses
Primary practice location
670 Ponahawai St
Suite 200
Hilo, HI 96720-2660
Mailing address
670 Ponahawai St
Suite 200
Hilo, HI 96720-2660
Phone (808) 961-5922
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041524-01 | Medicaid | HI | |
| 04569-0 | Other | HI | HMSA QUEST |
| 04569-0 | Other | HI | HMSA |
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
- Obstetrics/Gynecology
- Education
- University of Hawaii John a. Burns School of Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
670 Ponahawai St
Suite 200
Hilo, HI 96720-7830
Phone (808) 961-5922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD6338 | HI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick a. Nitta, M.D. Inc. | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Past | Accepting new patients |
Locations
670 Ponahawai St
Ste 200
Hilo, HI 96720
Phone (808) 222-8302
Interoperability endpoints
- fnitta21051@hhsc.direct-ci.com
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.
-
- Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
- Hilo, HI
- NPI 1841402914
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202342400000",
"number": "1023119385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST",
"address_2": "SUITE 200",
"city": "HILO",
"state": "HI",
"postal_code": "967202660",
"telephone_number": "808-961-5922",
"fax_number": "808-969-1924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST",
"address_2": "SUITE 200",
"city": "HILO",
"state": "HI",
"postal_code": "967202660",
"telephone_number": "808-961-5922",
"fax_number": "808-969-1924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITTA",
"first_name": "FREDERICK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2008-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "HI",
"license": "MD6338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "041524-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA QUEST",
"identifier": "04569-0",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "04569-0",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.