Individual provider Active NPI

Timothy Quinn Howard, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Honolulu, HI
National Provider Identifier
1043201494
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AMD251 Issued in HI
Practice address
1029 Kapahulu Ave Ste 503
Honolulu, HI 96816-1332
Phone
(808) 218-7889
Fax
(808) 218-7891
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AMD251 HI Primary

Addresses

Primary practice location

1029 Kapahulu Ave Ste 503
Honolulu, HI 96816-1332

Mailing address

1029 Kapahulu Ave Ste 503
Honolulu, HI 96816-1332
Phone (808) 218-7889

Other practice location 1

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Amc, HI 96859-5001
Phone (808) 433-5736

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050602000896 HI Practitioner - Physician Assistant 9234172040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Dermatology Centers IncGroup PAC ID 3274782586, 12 clinicians

Practice addresses (Care Compare)

407 Uluniu St
Suite 314
Kailua, HI 96734-2544
Phone (808) 218-7889

6700 Kalanianaole Hwy
Suite 217
Honolulu, HI 96825-1297
Phone (808) 218-7889

Merit-based Incentive Payment System (MIPS)

Final score
61.06 of 100Reported as group
Quality
83.75
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3430GAMDOptometrist
AMD251HIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
G. Todd Bessinger, MD, PHD, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1043201494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE STE 503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-218-7889",
            "fax_number": "808-218-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE STE 503",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-218-7889",
            "fax_number": "808-218-7891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Tripler Amc",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-5736",
            "fax_number": "808-433-7457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "TIMOTHY",
        "middle_name": "QUINN",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.