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
Hospital & facility affiliations 3
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
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
- Adventist Health Castle
- The Queens Medical Center
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190626003473 | HI | Practitioner - Family Practice | 2163756065 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19735 | HI | MD | Family Medicine Physician |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| Castle Medical Center | Current |
Accepting new patients | |
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| Castle Medical Center | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Trent Hiram
- Allen L Hixon
- Pui Lin Ho
- Ho'Onalu Wellness LLC
- Sydney Hogan
- Honolulu Counseling LLC
- Honu Smiles Pediatric Dentistry
- Hope Inc
- Korene A Horibata
- Sophia Hoskins
All providers in Mililani, HI · Family Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.