Individual provider Active NPI

Steven Ayers, D.O.

  • Psychiatry Physician
  • Hilo, HI
National Provider Identifier
1225425754
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
O1162 Issued in ID
Practice address
45 Mohouli St
Hilo, HI 96720-7210
Phone
(808) 934-3040
NPI assigned
Apr 22, 2015
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1628 NE
Psychiatry Physician 2084P0800X 7576 NE
Psychiatry Physician 2084P0800X O1162 ID Primary

Addresses

Primary practice location

45 Mohouli St
Hilo, HI 96720-7210

Mailing address

45 Mohouli St
Hilo, HI 96720-7210
Phone (808) 934-3040

Other practice location 1

1032 S Bridgeway Pl Ste 110
Eagle, ID 83616-6099
Phone (208) 246-0123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20200923002478 ID Practitioner - Psychiatry 1658669510 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
O1162IDMDPsychiatry Physician
7576NEMDPsychiatry Physician
1628NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeway Health Services, LLC CurrentSince Sep 1, 2020 Accepting new patients

Locations

1032 S Bridgeway Pl
#110
Eagle, ID 83616
Phone (208) 246-0123

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1225425754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207210",
            "telephone_number": "808-934-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207210",
            "telephone_number": "808-934-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1032 S Bridgeway Pl Ste 110",
            "address_purpose": "LOCATION",
            "city": "Eagle",
            "state": "ID",
            "postal_code": "836166099",
            "country_code": "US",
            "telephone_number": "208-246-0123",
            "fax_number": "208-246-0125",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYERS",
        "first_name": "STEVEN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "1628",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "7576",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "O1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.