NPIMap

Individual provider Active NPI

Brittney H. Spivak, D.O

  • Family Medicine Physician
  • Kamuela, HI
National Provider Identifier
1043607336
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOS-1908 Issued in HI
Practice address
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone
(808) 881-4730
NPI assigned
Apr 24, 2015
Last updated
Aug 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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 DOS-1908 HI Primary

Addresses

Primary practice location

67-1125 Mamalahoa Hwy
Kamuela, HI 96743

Mailing address

PO Box 1266
Kailua, HI 96734-1266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211001831 HI Practitioner - Family Practice 0446563910 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midpacific Hospitalists LLCGroup PAC ID 9335439926, 12 clinicians

Practice addresses (Care Compare)

67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 885-4444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Hawaii Community Hospital, Inc. CurrentSince Feb 8, 2020 Accepting new patients
Midpacific Hospitalists LLC CurrentSince Sep 10, 2018 Accepting new patients
Kau Hospital CurrentSince Jul 13, 2021 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Dec 23, 2019 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jun 2, 2022 Accepting new patients
Kau Hospital CurrentSince Jul 13, 2021 Accepting new patients
Queens North Hawaii Community Hospital Family Medicine CurrentSince Feb 8, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jun 2, 2022 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Dec 23, 2019 Accepting new patients
Honokaa Hospital & Skilled Nursing Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 932-4100

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
North Hawaii Hospice, Inc.Kamuela, HI, CCN 121506 Hospice W-2 Managing Employee (10%) Mar 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1043607336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1266",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-1125 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "96743",
            "telephone_number": "808-881-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVAK",
        "first_name": "BRITTNEY",
        "middle_name": "H.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.