Individual provider Active NPI

Magdy A Mettias, M.D.

  • Pulmonary Disease Physician
  • Waipahu, HI
National Provider Identifier
1033276209
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD-7466 Issued in HI
Practice address
94-300 Farrington Hwy # E-06
Waipahu, HI 96797-2648
Phone
(808) 671-1988
Fax
(808) 677-0555
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD-7466 HI Primary
Internal Medicine Physician 207R00000X MD-7466 HI

Addresses

Primary practice location

94-300 Farrington Hwy # E-06
Waipahu, HI 96797-2648

Mailing address

94-300 Farrington Hwy # E-06
Waipahu, HI 96797-2648
Phone (808) 671-1988

Other identifiers 1

IdentifierTypeStateIssuer
03508905MedicaidHI

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
I20060105000234 HI Practitioner - Internal MedicinePractitioner - Pulmonary Disease 2567485584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Other, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

94-300 Farrington Hwy
Suite E06
Waipahu, HI 96797-2648

94-300 Farrington Hwy
Suite E6
Waipahu, HI 96797-2656
Phone (808) 379-5121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Magdy Mettias MD Inc CurrentSince Sep 20, 2010 Accepting new patients

Locations

94-300 Farrington Hwy
Ste E6
Waipahu, HI 96797
Phone (808) 379-5121

Networks

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

Organizations & group practices 1

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.

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1033276209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-300 FARRINGTON HWY # E-06",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972648",
            "telephone_number": "808-671-1988",
            "fax_number": "808-677-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-300 FARRINGTON HWY # E-06",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972648",
            "telephone_number": "808-671-1988",
            "fax_number": "808-677-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METTIAS",
        "first_name": "MAGDY",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "MD-7466",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-7466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03508905",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.