Active NPI
Jon S Jancaterino, MD
- Emergency Medicine Physician
- Wailuku, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7648
- Practice address
- Maui Memorial Medical Center
221 Mahalani St
Wailuku, HI 96793 - Phone
- (808) 242-2290
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7648 | HI | Primary |
Addresses
Primary practice location
Maui Memorial Medical Center
221 Mahalani St
Wailuku, HI 96793
Mailing address
421 Olohana St
#2903
Honolulu, HI 96815
Phone (508) 741-7626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3086674 | Medicaid | MA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Massachusetts Medical School, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
628 7TH St
Lanai City, HI 96763-0650
Phone (808) 545-6411
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7648 | HI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lanai Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| Maui Memorial Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| The Emergency Group, Inc. | Emergency Medicine | Past | Accepting new patients |
| Umass Memorial Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
| Wachusett Emergency Physicians, PC | Emergency Medicine | Past | Accepting new patients |
Locations
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Lanai City, HI
- NPI 1902388085
-
- Emergency Medicine Physician
- Wailuku, HI
- NPI 1326531773
-
- Emergency Medicine Physician
- Honolulu, HI
- NPI 1013943414
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
Emergency Medicine
-
- Emergency Medicine Physician
- Leominster, MA
- NPI 1376553693
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lanai Community Hospital
- Critical Access Hospital
- Lanai City, HI
- NPI 1336501634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1063402469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 OLOHANA ST",
"address_2": "#2903",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96815",
"telephone_number": "508-741-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MAUI MEMORIAL MEDICAL CENTER",
"address_2": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "96793",
"telephone_number": "808-242-2290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JANCATERINO",
"first_name": "JON",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "7648",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3086674",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.