Individual provider Active NPI

Elizabeth M Ignacio, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Honolulu, HI
National Provider Identifier
1225061674
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD13763 Issued in HI
Practice address
1010 S King St
Suite 401
Honolulu, HI 96814-1701
Phone
(808) 521-8170
Fax
(808) 521-8127
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD13763 HI Primary

Addresses

Primary practice location

1010 S King St
Suite 401
Honolulu, HI 96814-1701

Mailing address

1010 S King St
Suite 401
Honolulu, HI 96814-1701
Phone (808) 521-8170

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
I20061201000097 HI Practitioner - Orthopedic Surgery 9234128539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Georgetown University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imua Orthopedics Sports and Health LLCGroup PAC ID 1850543497, 2 clinicians

Practice addresses (Care Compare)

1010 S King St
Suite 401
Honolulu, HI 96814-1796
Phone (808) 521-8170

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)14
Upper limb (arm) arthroscopy (minimally invasive joint repair)20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imua Orthopedics, Sports & Health, LLC CurrentSince Dec 1, 2012 Accepting new patients
Nicole Y Gesik DO LLC PastSince Dec 1, 2012 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1010 S King St
Ste 401
Honolulu, HI 96814
Phone (808) 521-8170

Networks

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

Interoperability endpoints

  • Direct secure messaging: elizabeth.ignacio@hawaiihie.medicity.net

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1225061674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-521-8170",
            "fax_number": "808-521-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-521-8170",
            "fax_number": "808-521-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "HI",
            "license": "MD13763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.