Individual provider Active NPI

Mary Elizabeth Kerby, DO

  • Family Medicine Physician
  • Schofield Barracks, HI
National Provider Identifier
1023647799
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DR.0073094 Issued in CO
Practice address
Desmond T. Doss Health Clinic
Building 683 Waianae Ave
Schofield Barracks, HI 96786
Phone
(888) 683-2778
NPI assigned
Apr 5, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DR.0073094 CO Primary

Addresses

Primary practice location

Desmond T. Doss Health Clinic
Building 683 Waianae Ave
Schofield Barracks, HI 96786

Mailing address

Desmond T. Doss Health Clinic
Building 683 Waianae Ave
Schofield Barracks, HI 96786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240905000384 CO Order and Referring Only - Family PracticePractitioner - Family Practice 0648710632

National Provider Directory

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1023647799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DESMOND T. DOSS HEALTH CLINIC",
            "address_2": "BUILDING 683 WAIANAE AVE",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DESMOND T. DOSS HEALTH CLINIC",
            "address_2": "BUILDING 683 WAIANAE AVE",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "96786",
            "telephone_number": "888-683-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERBY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0073094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield Barracks, HI

Sources for this page

Verify at the official NPI Registry.