Carl Legaspi Delos Reyes, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

12235 Issued in HI

Practice address

4470 Sierra Dr
Honolulu, HI 96816-4022

Phone

(808) 734-0118

Fax

(808) 599-8801

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Plastic and Reconstructive Surgery

Education

R Franklin University of Med & Sci/Chicago Medical School, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: carl.delosreyes@hawaiihie.medicity.net

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.

• CDR Plastic Surgery, Inc.

  • Specialist
  • Honolulu, HI
  • NPI 1003947474
  Medicare reassignment NPD Authorized official
• Pacific Diabetes and Endocrine Center Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Honolulu, HI
  • NPI 1487041307
  NPD (past)

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

• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164531216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4470 SIERRA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164022",
            "telephone_number": "808-734-0118",
            "fax_number": "808-599-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4470 SIERRA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164022",
            "telephone_number": "808-734-0118",
            "fax_number": "808-599-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOS REYES",
        "first_name": "CARL",
        "middle_name": "LEGASPI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "HI",
            "license": "12235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53476002",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sabra Diane Della Lucia, LMFT
• Oscar David Dellinger III, M.D.
• Michelle X. Delneo, M.D.
• Emily Delong, D.O
• Shepard J Delong, D.M.D.
• Jessica Joy Delos Reyes
• Elisha Delos Santos, RN
• Gemma Chua Delos Santos, RN
• Amanda M Delrosario
• Emi N Delucia

• Plastic Surgery Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Plastic Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.