Active NPI
Neal H Atebara, MD, FACS
- Ophthalmology Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD9729
- 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, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08089302 | Medicaid | HI | |
| A210904 | Other | HI | HMSA |
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
- 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 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 9729 | HI | MD | Specialist |
| MD9729 | HI | MD | Ophthalmology Physician |
| 9729 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Center of Hawaii LLC | Ophthalmology | Current | Accepting new patients |
| Jeffrey Jason Wong MD Inc | Ophthalmology | Past | Accepting new patients |
| Gary Edwards MD Inc | Ophthalmology | Past | Accepting new patients |
| Retina Associates of Hawaii, Inc. | Specialist | Past | 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.
-
- Ophthalmology Physician
- Honolulu, HI
- NPI 1659328334
-
dba Honolulu Eye Clinic
- Pediatric Ophthalmology and Strabismus Specialist Physician
- Honolulu, HI
- NPI 1124290382
-
- Specialist
- Honolulu, HI
- NPI 1992759146
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.