Godofredo Barcena Baclig, M.D.

Key facts

NPI

1114010709

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

8967 (HI)

Practice address

405 N Kuakini St
Suite 1112
Honolulu, HI 96817-6300

Phone

(808) 524-5024

Fax

(808) 524-5715

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

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.

• Godofredo B. Baclig, M.D. Inc. Primary Care Clinic/Center · Honolulu, HI · NPI 1609116904
  Medicare reassignment NPD Authorized official HI

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• B. C. P., Inc. Home Health Agency · Honolulu, HI · NPI 1306105176
  Care Compare affiliation Home health agency
• B.C.P., Inc. Home Health Agency · Honolulu, HI · NPI 1225478605
  Care Compare affiliation Home health agency
• Kuakini Medical Center General Acute Care Hospital · Honolulu, HI · NPI 1215939335
  Care Compare affiliation Hospital
• Pali Momi Medical Center General Acute Care Hospital · Aiea, HI · NPI 1013961408
  Care Compare affiliation Hospital
• The Queens Medical Center General Acute Care Hospital · Honolulu, HI · NPI 1184612764
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Internal Medicine

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Home health agency · Honolulu, HI · CCN 127310
• Kuakini Medical Center Hospital · Honolulu, HI · CCN 120007
• The Queens Medical Center Hospital · Honolulu, HI · CCN 120001
• Pali Momi Medical Center Hospital · Aiea, HI · CCN 120026

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles (1 of 3)

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: godofredo.baclig@43149963362308.direct.elationemr.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 8, 2013.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1114010709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 1112",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-524-5024",
            "fax_number": "808-524-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 1112",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-524-5024",
            "fax_number": "808-524-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACLIG",
        "first_name": "GODOFREDO",
        "middle_name": "BARCENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "8967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00203001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "021234-0",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marina Aquiran Badua, MD
• Nadia Yun Badua, MASSAGE THERAPY

All providers in Honolulu, HI · Internal Medicine Physician in Hawaii