Vijak Ayasanonda, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD13293 Issued in HI

Practice address

1301 Punchbowl St
Emergency Dept., Queen's Medical Center
Honolulu, HI 96813-2402

Phone

(808) 597-8791

Fax

(808) 597-8781

NPI assigned

Jun 19, 2006

Last updated

May 19, 2022By 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 1

Medicare fee-for-service enrollment

Enrolled in HI, CA2 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

Specialty

Emergency Medicine

Education

Wayne State University School of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maui Memorial Emergency Medical Associates IncGroup PAC ID 7618224981, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002

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.

• Maui Memorial Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Wailuku, HI
  • NPI 1326531773
  Medicare reassignment Care Compare group NPD
• Lanai Emergency Medical Associates Inc

  • Emergency Medicine Physician
  • Lanai City, HI
  • NPI 1902388085
  Medicare reassignment NPD
• Telemedicine365 Inc

  • Emergency Medicine Physician
  • El Segundo, CA
  • NPI 1912525817

  HI

  Medicare reassignment NPD
• The Emergency Group, Inc.

  • Emergency Medicine Physician
  • Honolulu, HI
  • NPI 1013943414
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Maui Health System a Kaiser Foundation Hospitals LLC

  dba Maui Memorial Medical Center

  • General Acute Care Hospital
  • Wailuku, HI
  • NPI 1013379460
  Care Compare affiliation

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1346285582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 KAPIOLANI BLVD",
            "address_2": "#705",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135212",
            "telephone_number": "808-597-8791",
            "fax_number": "808-597-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "address_2": "EMERGENCY DEPT., QUEEN'S MEDICAL CENTER",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-597-8791",
            "fax_number": "808-597-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYASANONDA",
        "first_name": "VIJAK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD13293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56681201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Breanna Brooke Aweau
• Asia Ayabe, MD
• Raul Ayala-Sepulveda
• Ruth L. Ayala, PTA
• Ayame Counseling Service LLC
• Pedro Joaquin Ayau Aguilar, MD
• Wint Thant Aye, MD
• Anastasia Ayers
• Halimah Sadiyah Ayinga
• Katie Akiko Azama, NP-C

• Emergency Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Emergency Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.