Individual provider Active NPI

Alpha Y Riveral III

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1154357515
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-12259 Issued in HI
Practice address
1360 S Beretania St
#215
Honolulu, HI 96814-1520
Phone
(808) 532-3711
Fax
(808) 532-3713
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD-12259 HI Primary

Addresses

Primary practice location

1360 S Beretania St
#215
Honolulu, HI 96814-1520

Mailing address

142 Haokea Dr
Kailua, HI 96734-3215

Other identifiers 3

IdentifierTypeStateIssuer
A007OtherCHAMPUS TRICARE
540709-01OtherACS
0000242487OtherHMSA

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
I20110328000347 HI Practitioner - Anesthesiology 5799688768 Reassigns benefits to 2 organizations
Practice locations: Kahului, HI

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

239 Hoohana St
Kahului, HI 96732-2452
Phone (808) 878-1358

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-12259HIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Anesthesia Medical Group Inc Anesthesiology CurrentSince Jul 28, 2003 Accepting new patients
Pec Anesthesia LLC CurrentSince Apr 15, 2024 Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

2226 Liliha St
Ste 307
Honolulu, HI 96817
Phone (808) 531-5823

1360 S Beretania St
Ste 215
Honolulu, HI 96814
Phone (808) 532-3600

239 Hoohana St
Kahului, HI 96732
Phone (808) 242-2064

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

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.

Hospital & facility affiliations 1

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1154357515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 HAOKEA DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S BERETANIA ST",
            "address_2": "#215",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141520",
            "telephone_number": "808-532-3711",
            "fax_number": "808-532-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERAL",
        "first_name": "ALPHA",
        "middle_name": "Y",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD-12259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS TRICARE",
            "identifier": "A007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "540709-01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000242487",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.