Amy K Reisenauer, MD

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

MD-13436 Issued in HI

Practice address

1300 N Holopono St Ste 215
Kihei, HI 96753-6945

Phone

(808) 874-3444

Fax

(808) 874-3443

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Dermatology

Education

University of California, San Francisco School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amy Reisenauer MD LLCGroup PAC ID 3173892809, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.09 of 100Reported as group

Quality

92.16

Improvement activities

40

Cost

47.43

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Amy Reisenauer MD LLC

  • Dermatology Physician
  • Kihei, HI
  • NPI 1922550987
  Medicare reassignment Care Compare group NPD Authorized official
• Hawaii Dermatopathology LLC

  • Clinical Medical Laboratory
  • Kihei, HI
  • NPI 1780120709
  Medicare reassignment NPD Authorized official
• Oculofacial Plastic Surgery of Hawaii Inc

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1164048005
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1104927110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N HOLOPONO ST STE 215",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536945",
            "telephone_number": "808-874-3444",
            "fax_number": "808-874-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N HOLOPONO ST STE 215",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536945",
            "telephone_number": "808-874-3444",
            "fax_number": "808-874-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISENAUER",
        "first_name": "AMY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "HI",
            "license": "MD-13436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000255125",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "572710-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachell Rawson
• Danilyn Razon
• Malia Reghi
• Rehabilitation Hospital of the Pacific
• Cecilia Rose Reilly, LMT
• Abigale Rebecca Jean Reish, L.M.T
• Rheumatology Associates of Maui, LLC
• Carol Riccio, M.S., P.T.
• Zachary Hunter Rice, L.AC.
• Lila Richardson

• Dermatopathology Physician in Kihei, HI
• Providers in Kihei, HI by specialty
• Dermatopathology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.

Verify at the official NPI Registry.