Active NPI
Ritabelle Fernandes, MD
- Geriatric Medicine (Internal Medicine) Physician
- Honolulu, HI
National Provider Identifier
1104911429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MD-10677
- Practice address
- 2239 N School St
Honolulu, HI 96819-2539 - Phone
- (808) 791-9400
- Fax
- (808) 848-0979
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MD-10677 | HI | Primary |
Addresses
Primary practice location
2239 N School St
Honolulu, HI 96819-2539
Mailing address
915 N King St
Honolulu, HI 96817-4544
Phone (808) 791-9400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000231431 | Other | HI | HMSA - BLUE CROSS |
| 0000992101 | Medicaid | HI | |
| MD10677 | Other | HI | MDX |
| 005005210 | Other | HI | ALOHACARE |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-10677 | HI | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Milestones | Current | Accepting new patients | |
| Islands Hospice, Inc. | Current | Accepting new patients | |
| Molokai Ohana Health Care, Inc. | Past | Accepting new patients | |
| Kalihi Palama Health Center | Past | Accepting new patients |
Locations
12680 High Bluff Dr
Ste 150
San Diego, CA 92130
820 Mililani St
Ste 400
Honolulu, HI 96813
Phone (808) 550-2552
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Interoperability endpoints
- https://api.platform.athenahealth.com/17047/brand/1/csg/1/fhir/r4
- ritabelle.fernandes.1@28780.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Honolulu, HI
- NPI 1184932345
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1881108652
-
- Federally Qualified Health Center (FQHC)
- Honolulu, HI
- NPI 1457304966
-
- Federally Qualified Health Center (FQHC)
- Kaunakakai, HI
- NPI 1336805621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480118400000",
"number": "1104911429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 N KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174544",
"telephone_number": "808-791-9400",
"fax_number": "808-848-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2239 N SCHOOL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968192539",
"telephone_number": "808-791-9400",
"fax_number": "808-848-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDES",
"first_name": "RITABELLE",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "HI",
"license": "MD-10677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA - BLUE CROSS",
"identifier": "0000231431",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000992101",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX",
"identifier": "MD10677",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHACARE",
"identifier": "005005210",
"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 Nov 26, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.