Active NPI
Peter Halford, MD
- Surgery Physician
- Honolulu, HI
National Provider Identifier
1104994201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2135
- Practice address
- 1329 Lusitana
706
Honolulu, HI 96813 - Phone
- (808) 536-1107
- Fax
- (808) 536-2931
- NPI assigned
- Nov 30, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2135 | HI | Primary |
Addresses
Primary practice location
1329 Lusitana
706
Honolulu, HI 96813
Mailing address
1329 Lusitana
706
Honolulu, HI 96813
Phone (808) 536-1107
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD2135 | Other | HI | MDX 1991 |
| 00A0039105 | Other | HI | HMSA 1991 |
| 03540801 | Medicaid | HI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060104000754 | HI | Practitioner - General Surgery | 6103849260 | Practice locations: Honolulu, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2135 | HI | MD | Surgery Physician |
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| The Queens Medical Center | Hospital | Corporate Director | Jan 1, 2017 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
Corporate Director
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1104994201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 LUSITANA",
"address_2": "706",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-536-1107",
"fax_number": "808-536-2931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA",
"address_2": "706",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "808-536-1107",
"fax_number": "808-536-2931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALFORD",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "HI",
"license": "2135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX 1991",
"identifier": "MD2135",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA 1991",
"identifier": "00A0039105",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03540801",
"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 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.