Individual provider Active NPI

Melanie Moanikeala Payanal, M.D.

  • Family Medicine Physician
  • Mililani, HI
National Provider Identifier
1164782371
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MDR-6285 Issued in HI
Practice address
95-390 Kuahelani Ave
Mililani, HI 96789-1192
Phone
(808) 627-3230
NPI assigned
May 22, 2012
Last updated
May 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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 MDR-6285 HI Primary

Addresses

Primary practice location

95-390 Kuahelani Ave
Mililani, HI 96789-1192

Mailing address

962 Kealaolu Ave
Honolulu, HI 96816-5417
Phone (808) 291-8897

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
I20151110000533 HI Practitioner - Family Practice 4183934383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

99 -128 Aiea Heights Dr
Suite 505
Aiea, HI 96701-3938
Phone (808) 763-8368

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-6285HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ke Ola Pono Ohana Family Medicine Clinic, LLC Family Medicine CurrentSince Oct 1, 2015 Accepting new patients
Kato Chiropractic Care, LLC PastSince Oct 1, 2015 Accepting new patients

Locations

99-128 Aiea Heights Dr
Ste 505
Aiea, HI 96701
Phone (808) 488-3957

2228 Liliha St
Ste 401
Honolulu, HI 96817
Phone (808) 523-1343

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Networks

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

Interoperability endpoints

  • Direct secure messaging: melanie.payanal@8913402462212.direct.elationemr.com

Organizations & group practices 3

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 7

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": "1337644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1164782371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 KEALAOLU AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165417",
            "telephone_number": "808-291-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-627-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYANAL",
        "first_name": "MELANIE",
        "middle_name": "MOANIKEALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR-6285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.