Individual provider Active NPI

Carl F Hodel, M.D.

  • Emergency Medicine Physician
  • Ewa Beach, HI
National Provider Identifier
1184779217
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-2688 Issued in HI
Practice address
91-2135 Fort Weaver Rd
Suite 170
Ewa Beach, HI 96706-1940
Phone
(808) 676-5331
Fax
(808) 671-2931
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-2688 HI Primary
Occupational Medicine Physician 2083X0100X MD-2688 HI

Addresses

Primary practice location

91-2135 Fort Weaver Rd
Suite 170
Ewa Beach, HI 96706-1940

Mailing address

91-2135 Fort Weaver Rd
Suite 170
Ewa Beach, HI 96706-1940
Phone (808) 676-5331

Other identifiers 2

IdentifierTypeStateIssuer
00A0042893OtherHIHMSA
039082-01MedicaidHI

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
I20100108000605 HI Practitioner - General PracticePractitioner - Other (Physician) 3870634181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of California, San Francisco School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Workstar Occupational Health Systems IncGroup PAC ID 8729978176, 15 clinicians

Practice addresses (Care Compare)

599 Farrington Hwy
BLDG 2
Kapolei, HI 96707-2028
Phone (808) 676-5331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Workstar Occupational Health Systems Inc Occupational Medicine CurrentSince Nov 11, 2009 Accepting new patients

Locations

91-2135 Fort Weaver Rd
Ste 170
Ewa Beach, HI 96706
Phone (808) 676-5331

599 Farrington Hwy
Ste 2
Kapolei, HI 96707
Phone (808) 676-5331

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1184779217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD",
            "address_2": "SUITE 170",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061940",
            "telephone_number": "808-676-5331",
            "fax_number": "808-671-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-2135 FORT WEAVER RD",
            "address_2": "SUITE 170",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061940",
            "telephone_number": "808-676-5331",
            "fax_number": "808-671-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODEL",
        "first_name": "CARL",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-2688",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "HI",
            "license": "MD-2688",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0042893",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039082-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

Verify at the official NPI Registry.