Individual provider Active NPI

Peter Richard Hurlbut-Miller, MD

  • Retina Specialist (Ophthalmology) Physician
  • Honolulu, HI
National Provider Identifier
1285695940
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
MD21900 Issued in HI
Practice address
1620 Ala Moana Blvd Ste 500
Honolulu, HI 96815-1437
Phone
(808) 955-0255
Fax
(808) 955-4155
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD21900 HI
Retina Specialist (Ophthalmology) Physician 207WX0107X 7029008-1205 UT
Retina Specialist (Ophthalmology) Physician 207WX0107X MD21900 HI Primary

Addresses

Primary practice location

1620 Ala Moana Blvd Ste 500
Honolulu, HI 96815-1437

Mailing address

1620 Ala Moana Blvd Ste 500
Honolulu, HI 96815-1437
Phone (808) 955-0255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Massachusetts Medical School, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1437

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as group
Quality
80
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD21900HIMDRetina Specialist (Ophthalmology) Physician
7029008-1205UTMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of Hawaii LLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Retina Institute of Hawaii LLC Specialist CurrentSince Jun 1, 2022 Accepting new patients
Center for Sight - West Oahu LLC Ophthalmology Past Accepting new patients
Northern Utah Healthcare Corporation PastSince Jul 1, 2009 Accepting new patients

Locations

91-803 Papipi Rd
Ewa Beach, HI 96706
Phone (808) 689-7911

126 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-0255

1620 Ala Moana Blvd
Ste 500
Honolulu, HI 96815

23 Paa St
Kahului, HI 96732
Phone (808) 674-2727

77-6403 Nalani St
Ste 200
Kailua Kona, HI 96740

94-216 Farrington Hwy
Ste 204
Waipahu, HI 96797

Organizations & group practices 4

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1285695940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD STE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD STE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURLBUT-MILLER",
        "first_name": "PETER",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD21900",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "UT",
            "license": "7029008-1205",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "HI",
            "license": "MD21900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.