Individual provider Active NPI

R. Craig Netzer, M.D.

  • Internal Medicine Physician
  • Lihue, HI
National Provider Identifier
1205831864
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-11719 Issued in HI
Practice address
4473 Pahee St
Ste O
Lihue, HI 96766-2037
Phone
(808) 246-2709
Fax
(808) 246-2700
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-11719 HI Primary

Addresses

Primary practice location

4473 Pahee St
Ste O
Lihue, HI 96766-2037

Mailing address

4473 Pahee St Ste L
Lihue, HI 96766-2037
Phone (808) 632-0200

Other identifiers 1

IdentifierTypeStateIssuer
50101602MedicaidHI

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
I20041122000451 HI Practitioner - Internal MedicinePractitioner - Family Practice 1456316355 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4473 Pahee St O
Lihue, HI 96766-2037
Phone (808) 246-2002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
90.84

Merit-based Incentive Payment System (MIPS)

Final score
70.96 of 100Reported as group
Quality
47.2
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
R. Craig Netzer MD Inc Internal Medicine CurrentSince Oct 25, 2004 Accepting new patients
Michael S Braun, MD LLC Internal Medicine CurrentSince Apr 15, 2006 Accepting new patients

Locations

4473 Pahee St
Ste 0
Lihue, HI 96766
Phone (808) 246-2002

4473 Pahee St
Ste O
Lihue, HI 96766

4473 Pahee St
Ste L
Lihue, HI 96766
Phone (808) 632-0200

4473 Pahee St
Ste O
Lihue, HI 96766
Phone (808) 246-2002

Networks

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

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1205831864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4473 PAHEE ST STE L",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662037",
            "telephone_number": "808-632-0200",
            "fax_number": "808-632-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4473 PAHEE ST",
            "address_2": "STE O",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662037",
            "telephone_number": "808-246-2709",
            "fax_number": "808-246-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETZER",
        "first_name": "R. CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-11719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50101602",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.