Individual provider Active NPI

Nenita P. Bala-Albano, M.D.

  • Internal Medicine Physician
  • Waipahu, HI
National Provider Identifier
1336301944
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD19892 Issued in HI
Practice address
94-366 Pupupani St Ste 118
Waipahu, HI 96797-2644
Phone
(808) 676-0865
Fax
(808) 676-1970
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 44853 AZ
Internal Medicine Physician 207R00000X MD19892 HI Primary

Addresses

Primary practice location

94-366 Pupupani St Ste 118
Waipahu, HI 96797-2644

Mailing address

PO Box 970749
Waipahu, HI 96797-0749
Phone (808) 927-1551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110908001638 AZ Practitioner - Internal Medicine 0244400943
I20190416001472 HI Practitioner - Internal Medicine 0244400943 Reassigns benefits to 1 organization
Practice locations: Waipahu, HI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19892HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nenita Bala-Albano MD LLC Internal Medicine CurrentSince Nov 25, 2021 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Mar 12, 2018 Accepting new patients
Benedicto R. Galindo, M.D., Inc. CurrentSince Oct 13, 2019 Accepting new patients
West Shore Neurology LLC CurrentSince Nov 25, 2021 Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince Mar 12, 2018 Accepting new patients

Locations

5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

94-216 Farrington Hwy
Ste 203
Waipahu, HI 96797
Phone (808) 680-0558

94-366 Pupupani St
Ste 118
Waipahu, HI 96797
Phone (808) 676-0865

Interoperability endpoints

  • Direct secure messaging: nenita.bala-albano@448932707893252.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1336301944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970749",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970749",
            "telephone_number": "808-927-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-366 PUPUPANI ST STE 118",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972644",
            "telephone_number": "808-676-0865",
            "fax_number": "808-676-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALA-ALBANO",
        "first_name": "NENITA",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "44853",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD19892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.