Mary Ann Iyer, M.D.
Individual provider Active NPI Internal Medicine Physician · Hilo, HI
NPI 1366470502 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1366470502
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 19313 (HI)
- Practice address
- 50 Ululani St
Hilo, HI 96720-2933 - Phone
- (808) 933-2399
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19313 | HI | MD | Internal Medicine Physician |
| MD21890 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Health Northern California, LLC | Multi-Specialty | Past | Accepting new patients |
| Round Valley Indian Health Center | Past | Accepting new patients | |
| Firstcare Medical Foundation | Multi-Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15148/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 2013-01594 | NC | |
| Internal Medicine Physician |
207R00000X | 19313 | HI | Yes |
| Internal Medicine Physician | 207R00000X | MD21890 | OR |
Addresses
Primary practice location
50 Ululani St
Hilo, HI 96720-2933
Mailing address
829 Kelly Mountain Rd
Brevard, NC 28712-0270
Phone (828) 884-6723
Other providers in Hilo, HI
- Island Professional Anesthesia LLC
- Island Urology Hilo LLC
- Marhysa Ito Carver
- Bryan M Ito
- Kevin Masao Iwasaki
- J Nohea Kaawaloa MD Inc
- Keziah Lyne Jabilona
- Melissa Jacinto
- Jacqueline Hahn
- Jodie Mae Jahns
All providers in Hilo, HI · Internal Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.