Individual provider Active NPI

John Leslie Frattarelli, M.D.

  • Reproductive Endocrinology Physician
  • Kailua, HI
National Provider Identifier
1356323091
Registry record updated Dec 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
11090 Issued in HI
Practice address
407 Uluniu St
Suite 312
Kailua, HI 96734-2519
Phone
(808) 262-0544
Fax
(808) 262-3744
NPI assigned
Nov 17, 2005
Last updated
Dec 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X 11090 HI Primary

Addresses

Primary practice location

407 Uluniu St
Suite 312
Kailua, HI 96734-2519

Mailing address

407 Uluniu St
Suite 312
Kailua, HI 96734-2519
Phone (808) 262-0544

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
I20091008000161 HI Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 5395881171 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Tennessee, HSC, College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1585 Kapiolani Blvd
Suite 1800
Honolulu, HI 96814-4500
Phone (808) 545-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11090HIMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Reproductive Medicine and Gynecology of Hawaii, Inc. CurrentSince Jun 9, 2009 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jul 1, 2010 Accepting new patients

Locations

1585 Kapiolani Blvd
Ste 1800
Honolulu, HI 96814
Phone (808) 545-2800

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

407 Uluniu St
Ste 312
Kailua, HI 96734
Phone (808) 262-0544

Interoperability endpoints

  • Direct secure messaging: john.frattarelli@fih.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229385600000",
    "number": "1356323091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST",
            "address_2": "SUITE 312",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342519",
            "telephone_number": "808-262-0544",
            "fax_number": "808-262-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 ULUNIU ST",
            "address_2": "SUITE 312",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342519",
            "telephone_number": "808-262-0544",
            "fax_number": "808-262-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRATTARELLI",
        "first_name": "JOHN",
        "middle_name": "LESLIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "HI",
            "license": "11090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.