Individual provider Active NPI

Gabriela Maria Ortiz-Omphroy, MD

  • Specialist
  • Aiea, HI
National Provider Identifier
1093879884
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD 12351 Issued in HI
Practice address
98-1247 Kaahumanu St Ste 118a
Aiea, HI 96701-5310
Phone
(808) 488-4342
Fax
(808) 488-4151
NPI assigned
Dec 19, 2006
Last updated
May 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD 12351 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St Ste 118a
Aiea, HI 96701-5310

Mailing address

PO Box 31000
Honolulu, HI 96849-5550
Phone (808) 488-4342

Other identifiers 1

IdentifierTypeStateIssuer
5392731-3MedicaidHI

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
I20100924000147 HI Practitioner - Family Practice 6002708153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Suite 680
Aiea, HI 96701-4725
Phone (808) 488-4642

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 12351HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gabriela Ortiz-Omphroy MD LLC Specialist Current Accepting new patients
Gabriela Ortiz-Omphroy MD LLC CurrentSince Aug 1, 2003 Accepting new patients
Luis C Omphroy MD LLC PastSince Mar 1, 2005 Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

98-1247 Kaahumanu St
Ste 118A
Aiea, HI 96701
Phone (808) 487-7700

Networks

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

Interoperability endpoints

  • Direct secure messaging: gabriela.ortizomphroy@hawaiihie.medicity.net

Organizations & group practices 3

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 5

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494288000000",
    "number": "1093879884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968495550",
            "telephone_number": "808-488-4342",
            "fax_number": "808-488-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 118A",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015310",
            "telephone_number": "808-488-4342",
            "fax_number": "808-488-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-OMPHROY",
        "first_name": "GABRIELA",
        "middle_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2017-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD 12351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5392731-3",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.