Individual provider Active NPI

Mary G. Pixler, M.D.

  • Internal Medicine Physician
  • Kalaheo, HI
National Provider Identifier
1043242365
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-7986 Issued in HI
Practice address
4489 Papalina Rd
Kalaheo, HI 96741-8503
Phone
(808) 332-8523
Fax
(808) 332-7050
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-7986 HI Primary

Addresses

Primary practice location

4489 Papalina Rd
Kalaheo, HI 96741-8503

Mailing address

PO Box 520
Kalaheo, HI 96741-0520
Phone (808) 332-8523

Other identifiers 6

IdentifierTypeStateIssuer
B41057OtherKAISER
00E0007046OtherHMSA
99-0262194OtherHMAA
49971600OtherALOHACARE
00727004MedicaidHI
99-0262194OtherHMA

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
I20040315000503 HI Practitioner - Internal Medicine 0749179919 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-7986HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Medical Clinic CurrentSince Feb 1, 2008 Accepting new patients
Kauai Medical Clinic CurrentSince Feb 1, 2008 Accepting new patients

Locations

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

Networks

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

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043242365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967410520",
            "telephone_number": "808-332-8523",
            "fax_number": "808-332-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4489 PAPALINA RD",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418503",
            "telephone_number": "808-332-8523",
            "fax_number": "808-332-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIXLER",
        "first_name": "MARY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-7986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "B41057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00E0007046",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA",
            "identifier": "99-0262194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE",
            "identifier": "49971600",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00727004",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "99-0262194",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalaheo, HI

Sources for this page

Verify at the official NPI Registry.