Active NPI
Gregory A Pollack, M.D.
- Hematology & Oncology Physician
- Wailuku, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD-20238
- Practice address
- 80 Mahalani St
Wailuku, HI 96793-2531 - Phone
- (808) 243-6000
- NPI assigned
- Feb 4, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2009-00799 | NC | |
| Hematology & Oncology Physician | 207RH0003X | 200900799 | NC | |
| Hematology & Oncology Physician | 207RH0003X | MD-20238 | HI | Primary |
Addresses
Primary practice location
80 Mahalani St
Wailuku, HI 96793-2531
Mailing address
80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 243-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5912869 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Medical Oncology
- Education
- University of Florida College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
80 Mahalani St
Wailuku, HI 96793-2531
Phone (808) 243-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-00799 | NC | MD | Internal Medicine Physician |
| MD-20238 | HI | MD | Hematology & Oncology Physician |
| 200900799 | NC | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Mission Hospitals Inc | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients | |
| MH Angel Medical Center, LLLP | Past | Accepting new patients |
Locations
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
80 Mahalani St
Wailuku, HI 96793
Phone (808) 243-6000
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
50 Schenck Pkwy
Asheville, NC 28803
Phone (828) 526-4346
428 Biltmore Ave
#4S
Asheville, NC 28801
Interoperability endpoints
- gpollack@cancercareofwnc.direct.varian.com
Organizations & group practices 7
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.
-
- Health Maintenance Organization
- Honolulu, HI
- NPI 1710945969
-
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
-
- Nursing Facility/Intermediate Care Facility
- Kula, HI
- NPI 1184079956
-
- Specialist
- Wailuku, HI
- NPI 1669834016
-
- Psychiatric Hospital Unit
- Asheville, NC
- NPI 1962452482
-
- Medicare Defined Swing Bed Hospital Unit
- Franklin, NC
- NPI 1720554934
-
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1396813861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1346428158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932531",
"telephone_number": "808-243-6000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932531",
"telephone_number": "808-243-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "GREGORY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-04",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2009-00799",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NC",
"license": "200900799",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "HI",
"license": "MD-20238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5912869",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "80 Mahalani St",
"city": "Wailuku",
"state": "HI",
"country_code": "US",
"postal_code": "967932531",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.