Individual provider Active NPI

Annelle E Onishi, M.D.

  • Family Medicine Physician
  • Kihei, HI
National Provider Identifier
1295825750
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11042 Issued in HI
Practice address
161 Wailea Ike PL Ste D102
Kihei, HI 96753-6523
Phone
(808) 874-8333
Fax
(808) 874-8330
NPI assigned
Oct 13, 2006
Last updated
Sep 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11042 HI Primary

Addresses

Primary practice location

161 Wailea Ike PL Ste D102
Kihei, HI 96753-6523

Mailing address

161 Wailea Ike PL Ste D102
Kihei, HI 96753-6523
Phone (808) 874-8333

Other identifiers 2

IdentifierTypeStateIssuer
49747902MedicaidHI
C22089-1OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100324000630 HI Practitioner - Family Practice 1052495496 Reassigns benefits to 2 organizations
I20190830002118 TX Practitioner - Family PracticePractitioner - Emergency Medicine 1052495496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10201 Hwy 16
Comanche, TX 76442-4462
Phone (254) 879-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11042HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kihei-Wailea Medical Center. LLC CurrentSince Sep 1, 2001 Accepting new patients
Comanche County Medical Center Company CurrentSince May 7, 2019 Accepting new patients
Comanche County Medical Center Company CurrentSince May 7, 2019 Accepting new patients
RP Medical LLC CurrentSince Jun 1, 2018 Accepting new patients
Comanche County Medical Center Company Past Accepting new patients

Locations

270 Dairy Rd
Ste 239
Kahului, HI 96732

221 Piikea Ave
#A
Wailea, HI 96753
Phone (808) 244-6266

10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910

Organizations & group practices 6

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 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1295825750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WAILEA IKE PL STE D102",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536523",
            "telephone_number": "808-874-8333",
            "fax_number": "808-874-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WAILEA IKE PL STE D102",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536523",
            "telephone_number": "808-874-8333",
            "fax_number": "808-874-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONISHI",
        "first_name": "ANNELLE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "11042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49747902",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "C22089-1",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.