Active NPI
Abdiel M Angeles, M.D.
- Internal Medicine Physician
- Kahului, HI
National Provider Identifier
1295892081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2940
- Practice address
- 43 Kamehameha Avenue
Kahului, HI 96732-2256 - Phone
- (808) 871-7728
- Fax
- (808) 871-7729
- NPI assigned
- Jan 2, 2007
- Last updated
- Dec 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2940 | HI | Primary |
Addresses
Primary practice location
43 Kamehameha Avenue
Kahului, HI 96732-2256
Mailing address
43 Kamehameha Avenue
Kahului, HI 96732-2256
Phone (808) 871-7728
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C98365 | Other | HI | UPIN |
| 03644201 | Medicaid | HI | |
| 00A0040137 | Other | HI | HMSA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2940 | HI | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1295892081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 KAMEHAMEHA AVENUE",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322256",
"telephone_number": "808-871-7728",
"fax_number": "808-871-7729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 KAMEHAMEHA AVENUE",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322256",
"telephone_number": "808-871-7728",
"fax_number": "808-871-7729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANGELES",
"first_name": "ABDIEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD2940",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "C98365",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03644201",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00A0040137",
"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 Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.