Nataliya V Holmes, M.D.

Individual provider Active NPI Family Medicine Physician · Mililani, HI

NPI 1154785368 · NPPES record last updated Jun 21, 2019

Key facts

NPI
1154785368
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
MD19735 (HI)
Practice address
95-1249 Meheula Pkwy
Mililani, HI 96789-1779
Phone
(808) 625-6444
NPI assigned
Apr 13, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 6

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 3

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Castle Medical Center (77 clinicians)

Practice addresses (Care Compare)

30 Aulike St
Suite 300
Kailua, HI 96734-2751
Phone (808) 263-5015

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency · Kaneohe, HI · CCN 127017
  • Adventist Health Castle Hospital · Kailua, HI · CCN 120006
  • The Queens Medical Center Hospital · Honolulu, HI · CCN 120001

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

Enrollment IDStateProvider typePAC IDDetails
I20190626003473 HI Practitioner - Family Practice 2163756065 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD19735HIMDFamily Medicine Physician

Practice roles (4 of 6)

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital Current
since Jun 17, 2019
Accepting new patients
Castle Medical Center Current
since Jul 1, 2022
Accepting new patients
Straub Clinic & Hospital Current
since Jun 17, 2019
Accepting new patients
Castle Medical Center Current
since Jul 1, 2022
Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

321 N Kuakini St
Ste 201
Honolulu, HI 96817
Phone (808) 523-8611

30 Aulike St
Ste 300
Kailua, HI 96734
Phone (808) 263-5015

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

30 Aulike St
Ste 501
Kailua, HI 96734
Phone (808) 263-5011

Networks

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD19735 HI Yes

Addresses

Primary practice location

95-1249 Meheula Pkwy
Mililani, HI 96789-1779

Mailing address

95-1249 Meheula Pkwy
Mililani, HI 96789-1779
Phone (808) 625-6444

Other practice location 1

45 Mohouli St
Hilo, HI 96720-7210
Phone (808) 932-3187

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 21, 2019.

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1154785368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1249 MEHEULA PKWY",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891779",
            "telephone_number": "808-625-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-1249 MEHEULA PKWY",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891779",
            "telephone_number": "808-625-6444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 Mohouli St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967207210",
            "country_code": "US",
            "telephone_number": "808-932-3187",
            "fax_number": "808-932-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "NATALIYA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-13",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD19735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

All providers in Mililani, HI · Family Medicine Physician in Hawaii

Sources for this page

Verify at the official NPI Registry.