Individual provider Active NPI

Liza R Maniquis-Smigel, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Hilo, HI
National Provider Identifier
1306954847
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD 10575 Issued in HI
Practice address
136A Ululani St
Hilo, HI 96720-2946
Phone
(808) 933-3444
Fax
(808) 933-3433
NPI assigned
Aug 25, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD 10575 HI Primary

Addresses

Primary practice location

136A Ululani St
Hilo, HI 96720-2946

Mailing address

136A Ululani St
Hilo, HI 96720-2946
Phone (808) 933-3444

Other identifiers 3

IdentifierTypeStateIssuer
00C022405-9OtherHIHAWAII MEDICAL SVC ASSOC
362562300OtherHIACS
248808-04MedicaidHI

Other names 1

  • Liza Rosela Maniquis Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120625000007 HI Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Sports Medicine 5799674347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management, Sports Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

136 A Ululani St
Hilo, HI 96720-2946
Phone (808) 933-3444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 10575HIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Center for Regenerative Medicine LLC Physical Medicine & Rehabilitation CurrentSince Jun 15, 2003 Accepting new patients
Gulf States Rehabilitation & Associates Physical Medicine & Rehabilitation Past Accepting new patients
Liza Maniquis-Smigel, M.D., LLC PastSince Jul 1, 2003 Accepting new patients
Gulf States Rehabilitation Associates,LTD. Physical Medicine & Rehabilitation Past Accepting new patients

Locations

136A Ululani St
Hilo, HI 96720
Phone (808) 933-3444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1306954847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136A ULULANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202946",
            "telephone_number": "808-933-3444",
            "fax_number": "808-933-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136A ULULANI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202946",
            "telephone_number": "808-933-3444",
            "fax_number": "808-933-3433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIQUIS-SMIGEL",
        "first_name": "LIZA",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "MD 10575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SVC ASSOC",
            "identifier": "00C022405-9",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "362562300",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248808-04",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "MANIQUIS",
            "middle_name": "ROSELA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.