Individual provider Active NPI

Neal H Atebara, MD, FACS

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1093828840
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD9729 Issued in HI
Practice address
1380 Lusitana St
Suite 201
Honolulu, HI 96813-2421
Phone
(808) 550-8440
Fax
(808) 550-8488
NPI assigned
Aug 16, 2006
Last updated
Jan 23, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD 9729 HI
Ophthalmology Physician 207W00000X MD9729 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Suite 201
Honolulu, HI 96813-2421

Mailing address

1380 Lusitana St
Suite 201
Honolulu, HI 96813-2421
Phone (808) 550-8440

Other identifiers 2

IdentifierTypeStateIssuer
08089302MedicaidHI
A210904OtherHIHMSA

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
I20031222000619 HI Practitioner - Ophthalmology 4587562012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Hawaii John a. Burns School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1380 Lusitana St
Suite 201
Honolulu, HI 96813-2439
Phone (808) 550-8440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 9729HIMDSpecialist
MD9729HIMDOphthalmology Physician
9729HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Center of Hawaii LLC Ophthalmology CurrentSince Jul 7, 2003 Accepting new patients
Jeffrey Jason Wong MD Inc Ophthalmology PastSince Jun 15, 2008 Accepting new patients
Gary Edwards MD Inc Ophthalmology Past Accepting new patients
Retina Associates of Hawaii, Inc. Specialist PastSince Oct 1, 1999 Accepting new patients

Locations

1380 Lusitana St
Ste 201
Honolulu, HI 96813
Phone (808) 550-8440

Networks

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

Organizations & group practices 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1093828840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-550-8440",
            "fax_number": "808-550-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-550-8440",
            "fax_number": "808-550-8488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEBARA",
        "first_name": "NEAL",
        "middle_name": "H",
        "credential": "MD, FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD 9729",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD9729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08089302",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A210904",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.