Individual provider Active NPI

Stephen D Daly, DO

  • Family Medicine Physician
  • Kihei, HI
National Provider Identifier
1225157902
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
941 Issued in HI
Practice address
221 Piikea Ave Ste a
Kihei, HI 96753-8268
Phone
(808) 874-8100
Fax
(808) 874-6887
NPI assigned
Mar 27, 2007
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 941 HI Primary
Occupational Medicine Physician 2083X0100X 5101014493 MI

Addresses

Primary practice location

221 Piikea Ave Ste a
Kihei, HI 96753-8268

Mailing address

221 Piikea Ave Ste a
Kihei, HI 96753-8268
Phone (808) 874-8100

Other practice location 1

28196 Schoolcraft Rd
Livonia, MI 48150-2205
Phone (615) 778-4066

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090608000367 MI Practitioner - Family Practice 6507916889 Reassigns benefits to 1 organization
I20191119002666 HI Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 6507916889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Michigan State University College of Osteopathic Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kihei-Wailea Medical Center. LLCGroup PAC ID 9739070459, 9 clinicians

Practice addresses (Care Compare)

221 Piikea Ave
Suite a
Kihei, HI 96753-8268
Phone (808) 874-8100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
941HIMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Kihei-Wailea Medical Center. LLC CurrentSince Sep 16, 2019 Accepting new patients
American Ambulatory Physicians PastSince Dec 28, 2025 Accepting new patients

Locations

221 Piikea Ave
#A
Wailea, HI 96753
Phone (808) 244-6266

Interoperability endpoints

  • Direct secure messaging: stephen.daly@22487299391492.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 2

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": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1225157902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PIIKEA AVE STE A",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538268",
            "telephone_number": "808-874-8100",
            "fax_number": "808-874-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PIIKEA AVE STE A",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538268",
            "telephone_number": "808-874-8100",
            "fax_number": "808-874-6887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28196 Schoolcraft Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481502205",
            "country_code": "US",
            "telephone_number": "615-778-4066",
            "fax_number": "615-778-9114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "941",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MI",
            "license": "5101014493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.