Individual provider Active NPI

Rochelle Coloma, PA-C

  • Physician Assistant
  • Aiea, HI
National Provider Identifier
1235859539
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AMD-1372 Issued in HI
Practice address
98-211 Pali Momi St Ste 312
Aiea, HI 96701-4306
Phone
(808) 486-0449
Fax
(808) 488-0725
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X AMD-1372 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St Ste 312
Aiea, HI 96701-4306

Mailing address

98-211 Pali Momi St Ste 312
Aiea, HI 96701-4306
Phone (808) 486-0449

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016000000 HI Practitioner - Physician Assistant 2860924875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hawaii Gastroenterology SpecialistGroup PAC ID 7618120437, 6 clinicians

Practice addresses (Care Compare)

98 -211 Pali Momi St
Suite 312
Aiea, HI 96701-4306
Phone (808) 486-0449

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AMD-1372HIMDPhysician Assistant

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": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1235859539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 312",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014306",
            "telephone_number": "808-486-0449",
            "fax_number": "808-488-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 312",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014306",
            "telephone_number": "808-486-0449",
            "fax_number": "808-488-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMA",
        "first_name": "ROCHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-1372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.