Individual provider Active NPI

Ninu Alexandri Quirk, M.D.

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1124321690
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08590600 Issued in NJ
Practice address
45 Mohouli Street
Hilo Urgent Care
Hilo, HI 96720
Phone
(808) 345-8217
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA08590600 NJ Primary
Family Medicine Physician 207Q00000X MD10210 HI

Addresses

Primary practice location

45 Mohouli Street
Hilo Urgent Care
Hilo, HI 96720

Mailing address

PO Box 355
Deal, NJ 07723-0355
Phone (808) 345-8217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151014003320 ME Practitioner - Family Practice 2163731035 Reassigns benefits to 1 organization
I20191001001151 HI Practitioner - Family Practice 2163731035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Maine Medical CenterGroup PAC ID 8426952987, shared by 10 NPIs, 41 clinicians
Five Mountains Hawaii, IncGroup PAC ID 4880817840, 10 clinicians

Practice addresses (Care Compare)

197 E Main St
Fort Kent, ME 04743-1409
Phone (207) 834-5877

64-1035 Mamalahoa Hwy
Kamuela, HI 96743-8440
Phone (808) 885-5900

Hospital & facility affiliations

  • Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317
  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10210HIMDFamily Medicine Physician
25MA08590600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Five Mountains Hawaii, Inc CurrentSince Mar 18, 2024 Accepting new patients
Randall H. Hirata M.D., Inc. CurrentSince Jul 24, 2022 Accepting new patients
Mainehealth CurrentSince Jun 29, 2015 Accepting new patients

Locations

82 Puuhonu Pl
Ste 209
Hilo, HI 96720
Phone (808) 796-3125

64-1035 Mamalahoa Hwy
Ste F
Kamuela, HI 96743
Phone (808) 885-5900

111 Franklin Health Cmns
Farmington, ME 04938
Phone (207) 778-3326

21 Main St
Livermore Falls, ME 04254
Phone (207) 897-4339

Networks

  • HI PPO

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/17479dfb-b021-49d0-9c8a-9247a410a2a3/

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.

Hospital & facility affiliations 4

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1124321690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "DEAL",
            "state": "NJ",
            "postal_code": "077230355",
            "telephone_number": "808-345-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOHOULI STREET",
            "address_2": "HILO URGENT CARE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-345-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRK",
        "first_name": "NINU ALEXANDRI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08590600",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD10210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.