Individual provider Active NPI

Nataliya V Holmes, M.D.

  • Family Medicine Physician
  • Mililani, HI
National Provider Identifier
1154785368
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD19735 Issued in HI
Practice address
95-1249 Meheula Pkwy
Mililani, HI 96789-1779
Phone
(808) 625-6444
NPI assigned
Apr 13, 2016
Last updated
Jun 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Specialties & licenses 1

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

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

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
I20190626003473 HI Practitioner - Family Practice 2163756065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 CenterGroup PAC ID 6608762778, 77 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19735HIMDFamily Medicine Physician

Practice roles

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

Locations

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

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

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

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

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

Networks

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "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

Sources for this page

Verify at the official NPI Registry.