Individual provider Active NPI

Gabrielle Galler-Rimm, M.D.

  • Developmental - Behavioral Pediatrics Physician
  • Makawao, HI
National Provider Identifier
1033238779
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
MD-12312 Issued in HI
Practice address
1043 Makawao Ave,
Suite 106
Makawao, HI 96768
Phone
(808) 298-1165
Fax
(808) 572-4500
NPI assigned
Mar 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X MD-12312 HI Primary

Addresses

Primary practice location

1043 Makawao Ave,
Suite 106
Makawao, HI 96768

Mailing address

PO Box 759
Makawao, HI 96768-0759
Phone (808) 298-1165

Other identifiers 1

IdentifierTypeStateIssuer
00A0252286OtherHIHMSA PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 5, 2013 through Dec 5, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-12312HIMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galler Rimm Behavioral Health Services Inc Developmental - Behavioral Pediatrics Current Accepting new patients
Center for Peak Brain Performance CurrentSince Aug 15, 2021 Accepting new patients
Autism Specialists of the Pacific CurrentSince Aug 28, 2021 Accepting new patients

Locations

1043 Makawao Ave
Ste 201
Makawao, HI 96768
Phone (808) 572-4500

1043 Makawao Ave
Ste 106
Makawao, HI 96768
Phone (808) 268-2805

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1033238779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967680759",
            "telephone_number": "808-298-1165",
            "fax_number": "808-572-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1043 MAKAWAO AVE,",
            "address_2": "SUITE 106",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "96768",
            "telephone_number": "808-298-1165",
            "fax_number": "808-572-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLER-RIMM",
        "first_name": "GABRIELLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "HI",
            "license": "MD-12312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "00A0252286",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

Verify at the official NPI Registry.