Individual provider Active NPI

Timothy McDevitt, M.D.

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1144209958
Registry record updated Jul 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
7864 Issued in HI
Practice address
1380 Lusitana St
Suite 708
Honolulu, HI 96813-2449
Phone
(808) 599-4755
Fax
(808) 599-5397
NPI assigned
Jan 10, 2006
Last updated
Jul 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 7864 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Suite 708
Honolulu, HI 96813-2449

Mailing address

1380 Lusitana St
Suite 708
Honolulu, HI 96813-2449
Phone (808) 599-4755

Other identifiers 2

IdentifierTypeStateIssuer
E94267OtherHIHMSA
07250001MedicaidHI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060116000013 HI Practitioner - Ophthalmology 5395769533 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Geisel School of Medicine at Dartmouth, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Timothy F. McDevitt, M.D. IncGroup PAC ID 6901082858, 3 clinicians

Practice addresses (Care Compare)

1380 Lusitana St
Suite 708
Honolulu, HI 96813-2443
Phone (808) 599-4755

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7864HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Timothy F. McDevitt, M.D. Inc CurrentSince Apr 30, 2003 Accepting new patients
Pacific Anesthesia, Inc PastSince Mar 21, 2011 Accepting new patients

Locations

1380 Lusitana St
Ste 708
Honolulu, HI 96813
Phone (808) 524-1537

Networks

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

Interoperability endpoints

  • Direct secure messaging: timothy.mcdevitt.1@13801.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435708800000",
    "number": "1144209958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 708",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-599-4755",
            "fax_number": "808-599-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 708",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-599-4755",
            "fax_number": "808-599-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDEVITT",
        "first_name": "TIMOTHY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2015-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "7864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "E94267",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07250001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.