Zachary A. Manlucu, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R210225 Issued in MD

Practice address

56 Kamehameha Ave
Hilo, HI 96720-2831

Phone

(808) 969-7378

NPI assigned

Oct 16, 2019

Last updated

Dec 11, 2019By 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 2

Addresses

Other names 1

• Zachary-Allen Dannug Manlucu Other name

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sleep Center Hawaii LLCGroup PAC ID 8022189612, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Sleep Center Hawaii LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Aiea, HI
  • NPI 1154592772
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1316589963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 AUTUMN GRAIN GATE",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207235883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 KAMEHAMEHA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202831",
            "telephone_number": "808-969-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANLUCU",
        "first_name": "ZACHARY",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-2828",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R210225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZACHARY-ALLEN",
            "last_name": "MANLUCU",
            "middle_name": "DANNUG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jane Manchon
• Rica Joy Duldulao Maneja
• Maricris Mangasi, DDS
• Adam Manion
• Liza R Maniquis-Smigel, M.D.
• Alana Manuia
• Marcy M Kawasaki DDS
• Marianas Pacific Inc. (Marianas Home Care Services)
• Emily Marin
• Mark K. Koizumi, D.D.S., Inc.

• Family Nurse Practitioner in Hilo, HI
• Providers in Hilo, HI by specialty
• Family Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.