Individual provider Active NPI

Melissa Deborra Robey, MD

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1245468362
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22504 Issued in HI
Practice address
1190 Waianuenue Ave
Hilo, HI 96720-2094
Phone
(808) 932-3730
NPI assigned
Jun 26, 2009
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 22504 HI Primary
Family Medicine Physician 207Q00000X MD157670 OR
Family Medicine Physician 207Q00000X ML60092791 WA

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720-2094

Mailing address

490 Mohouli St
Hilo, HI 96720-4050
Phone (503) 915-9046

Other practice location 1

512 Skyline Blvd Ste 1
Cloquet, MN 55720
Phone (218) 878-7622

Other practice location 2

5330 NE Glisan St
Suite 100
Portland, OR 97213-3069
Phone (503) 215-9700

Other identifiers 1

IdentifierTypeStateIssuer
500646950MedicaidOR

Other names 1

  • Melissa Deborra Rodgers-Robey Former name

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
I20220519000998 HI Practitioner - Family Practice 6608025341 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kau HospitalGroup PAC ID 7416945548, 138 clinicians
Hilo Benioff Medical CenterGroup PAC ID 1254422900, 131 clinicians

Practice addresses (Care Compare)

1 Kamani St
Pahala, HI 96777
Phone (808) 932-4370

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000

45 Mohouli St
Hilo, HI 96720-7210
Phone (808) 932-4215

PO Box
Pahala, HI 96777

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22504HIMDFamily Medicine Physician
ML60092791WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince Nov 27, 2024 Accepting new patients
Kau Hospital CurrentSince Jun 27, 2022 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jun 27, 2022 Accepting new patients
Kau Hospital CurrentSince Jun 27, 2022 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jun 27, 2022 Accepting new patients
Community Memorial Hospital Association Past Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

1285 Waianuenue Ave
#2
Hilo, HI 96720

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

Organizations & group practices 7

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1245468362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MOHOULI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204050",
            "telephone_number": "503-915-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202094",
            "telephone_number": "808-932-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 Skyline Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Cloquet",
            "state": "MN",
            "postal_code": "55720",
            "country_code": "US",
            "telephone_number": "218-878-7622",
            "fax_number": "218-879-3237",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 NE Glisan St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972133069",
            "country_code": "US",
            "telephone_number": "503-215-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBEY",
        "first_name": "MELISSA",
        "middle_name": "DEBORRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "22504",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD157670",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML60092791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500646950",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RODGERS-ROBEY",
            "middle_name": "DEBORRA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.