Philip David Hellreich, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2088 Issued in HI

Practice address

40 Aulike St
Suite 311
Kailua, HI 96734-2758

Phone

(808) 261-6133

Fax

(808) 262-9222

NPI assigned

Jan 16, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Dermatology

Education

State University of Ny Upstate Medical University, 1966

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kailua Dermatology Associates LTD

  • Dermatology Physician
  • Kailua, HI
  • NPI 1639229008
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316099963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 311",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342758",
            "telephone_number": "808-261-6133",
            "fax_number": "808-262-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 311",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342758",
            "telephone_number": "808-261-6133",
            "fax_number": "808-262-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLREICH",
        "first_name": "PHILIP",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "2088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03119501",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QHCP MDX",
            "identifier": "MD2088",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "X3463 2",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIEL",
            "identifier": "191661",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSMA  KANEOHE",
            "identifier": "A3463 5",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QHCP MDX",
            "identifier": "MD2088 02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Heaton
• Mary Hedley Campos, L.AC
• Matthew K Hee, PHARM D
• Katherine S. Heinzen Jim, M.D.
• Janice Miriam Hellreich, M.A. CCC-SLP
• Lisa Anne Hendrickson, M.D.
• Rachel Herrera
• Kristynn Herrold, RBT
• Jessica M Herzog
• Julie A Hess, MSPT

• Dermatology Physician in Kailua, HI
• Providers in Kailua, HI by specialty
• Dermatology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.