Individual provider Active NPI

Andrew Mickle Fox, MD

  • Pediatrics Physician
  • Kahului, HI
National Provider Identifier
1275583148
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10042 Issued in HI
Practice address
53 S Puunene Ave # 102
Kahului, HI 96732-2192
Phone
(808) 871-8611
Fax
(808) 893-0211
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 10042 HI Primary

Addresses

Primary practice location

53 S Puunene Ave # 102
Kahului, HI 96732-2192

Mailing address

53 S Puunene Ave # 102
Kahului, HI 96732-2192
Phone (808) 871-8611

Other identifiers 1

IdentifierTypeStateIssuer
24660800MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10042HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hui No Ke Ola Pono, Inc. PastSince Dec 28, 2015 Accepting new patients
Andrew M. Fox MD LLC Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: andrew.fox@thehui.directbygreenway.com

Organizations & group practices 2

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1275583148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE # 102",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322192",
            "telephone_number": "808-871-8611",
            "fax_number": "808-893-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 S PUUNENE AVE # 102",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322192",
            "telephone_number": "808-871-8611",
            "fax_number": "808-893-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "ANDREW",
        "middle_name": "MICKLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "10042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24660800",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.