Active NPI
David Fitz-Patrick, M.D.
- Specialist
- Honolulu, HI
National Provider Identifier
1275531154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD-4149
- Practice address
- 1585 Kapiolani Blvd
Suite 1500
Honolulu, HI 96814-4522 - Phone
- (808) 531-6886
- Fax
- (808) 523-5115
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD-4149 | HI | Primary |
Addresses
Primary practice location
1585 Kapiolani Blvd
Suite 1500
Honolulu, HI 96814-4522
Mailing address
1585 Kapiolani Blvd
Suite 1500
Honolulu, HI 96814-4522
Phone (808) 531-6886
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B54516 | Other | HI | BCBS |
| B54516 | Other | HI | HMSA |
| 04789303 | Medicaid | HI | |
| 651163705 | Other | HI | TAX ID |
| MD4149 | Other | HI | QUEENS/MDX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1974
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1585 Kapiolani Blvd
Suite 1500
Honolulu, HI 96814-4526
Phone (808) 440-4413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David Fitz-Patrick, MD Inc. | Specialist | Current | Accepting new patients |
Locations
1585 Kapiolani Blvd
Ste 1500
Honolulu, HI 96814
Phone (808) 440-4413
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.
-
- Specialist
- Honolulu, HI
- NPI 1932250479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1275531154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1585 KAPIOLANI BLVD",
"address_2": "SUITE 1500",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144522",
"telephone_number": "808-531-6886",
"fax_number": "808-523-5115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 KAPIOLANI BLVD",
"address_2": "SUITE 1500",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144522",
"telephone_number": "808-531-6886",
"fax_number": "808-523-5115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZ-PATRICK",
"first_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2021-09-23",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MD-4149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "B54516",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "B54516",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04789303",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "651163705",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUEENS/MDX",
"identifier": "MD4149",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.