Individual provider Active NPI

Garry Peers, MD

  • Urology Physician
  • Honolulu, HI
National Provider Identifier
1376593269
Registry record updated Jan 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD11120 Issued in HI
Practice address
1329 Lusitana St
Suite 506
Honolulu, HI 96813-2431
Phone
(808) 599-7779
Fax
(808) 599-7780
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD11120 HI Primary

Addresses

Primary practice location

1329 Lusitana St
Suite 506
Honolulu, HI 96813-2431

Mailing address

1329 Lusitana St
Suite 506
Honolulu, HI 96813-2431
Phone (808) 599-7779

Other identifiers 3

IdentifierTypeStateIssuer
AQ992ZOtherHIPTAN
496457-02MedicaidHI
MD11120OtherHIHAWAII LICENSE NUMBER

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
I20081027000751 HI Practitioner - Urology 2668530189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aloha Urology IncGroup PAC ID 9739246026, 5 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 406
Honolulu, HI 96813-2412
Phone (808) 599-7779

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11120HIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Urology West Oahu LLC Urology CurrentSince Sep 21, 2020 Accepting new patients

Locations

91-2135 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 534-0777

1329 Lusitana St
Ste 406
Honolulu, HI 96813
Phone (808) 536-3690

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232668800000",
    "number": "1376593269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 506",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132431",
            "telephone_number": "808-599-7779",
            "fax_number": "808-599-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 506",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132431",
            "telephone_number": "808-599-7779",
            "fax_number": "808-599-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEERS",
        "first_name": "GARRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "HI",
            "license": "MD11120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AQ992Z",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "496457-02",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII LICENSE NUMBER",
            "identifier": "MD11120",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.