Individual provider Active NPI

Richard A Pekala, MD

  • General Practice Physician
  • Kailua Kona, HI
National Provider Identifier
1336174341
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD-3984 Issued in HI
Practice address
75-137 Hualalai Rd
Kailua Kona, HI 96740-1703
Phone
(808) 329-1346
Fax
(808) 329-1575
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD-3984 HI Primary

Addresses

Primary practice location

75-137 Hualalai Rd
Kailua Kona, HI 96740-1703

Mailing address

75-137 Hualalai Rd
Kailua Kona, HI 96740-1703
Phone (808) 329-1346

Other identifiers 1

IdentifierTypeStateIssuer
04733201MedicaidHI

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
I20110103000235 HI Practitioner - General Practice 5890983183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of Hawaii John a. Burns School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kona Kohala Health Care Services IncGroup PAC ID 7214910991, 2 clinicians

Practice addresses (Care Compare)

75 -137 Hualalai Rd
Kailua Kona, HI 96740-1703
Phone (808) 329-1340

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Hilo, HI, CCN 127312
  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019
  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kona Kohala Health Care Services Inc General Practice CurrentSince May 1, 1987 Accepting new patients

Locations

75-137 Hualalai Rd
Kailua Kona, HI 96740
Phone (808) 329-1340

Interoperability endpoints

  • Direct secure messaging: richard.pekala@23668462583812.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1336174341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-137 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401703",
            "telephone_number": "808-329-1346",
            "fax_number": "808-329-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-137 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401703",
            "telephone_number": "808-329-1346",
            "fax_number": "808-329-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKALA",
        "first_name": "RICHARD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "HI",
            "license": "MD-3984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04733201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.