Active NPI
Holly Marie Poag, D.O.
- Emergency Medicine Physician
- Koloa, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DOS-1820
- Practice address
- 2829 Ala Kalanikaumaka St.
Ste.B201
Koloa, HI 96756 - Phone
- (808) 742-0999
- Fax
- (808) 742-0990
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101016537 | MI | |
| Emergency Medicine Physician | 207P00000X | DOS-1820 | HI | Primary |
Addresses
Primary practice location
2829 Ala Kalanikaumaka St.
Ste.B201
Koloa, HI 96756
Mailing address
PO Box 669
Atten: Rhonelle C Aceret
Waimea, HI 96796-0669
Phone (808) 240-2723
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170830002995 | HI | Practitioner - Emergency Medicine | 6507940442 | Reassigns benefits to 6 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
2829 Ala Kalani Kaumaka St
Koloa, HI 96756-7549
Phone (808) 742-0999
Hospital & facility affiliations
- Maui Memorial Medical Center
- Samuel Mahelona Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 67.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current | Accepting new patients | |
| Maui Memorial Emergency Medical Associates Inc | Emergency Medicine | Current | Accepting new patients |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current | Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Livingston Healthcare | Past | Accepting new patients |
Locations
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
2829 Ala Kalani Kaumaka St
Ste B-201
Koloa, HI 96756
Phone (808) 742-0999
100 Keokea Pl
Kula, HI 96790
Phone (808) 875-6690
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Wailuku, HI
- NPI 1326531773
Emergency Medicine, HI
-
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
HI
-
- Durable Medical Equipment & Medical Supplies
- Koloa, HI
- NPI 1871611558
-
- Specialist
- Waimea, HI
- NPI 1467620328
-
- Specialist
- Wailuku, HI
- NPI 1669834016
-
- Psychiatric Hospital Unit
- Kapaa, HI
- NPI 1255406575
-
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- Critical Access Hospital
- Livingston, MT
- NPI 1245222306
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583884800000",
"number": "1376755330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 669",
"address_2": "ATTEN: RHONELLE C ACERET",
"city": "WAIMEA",
"state": "HI",
"postal_code": "967960669",
"telephone_number": "808-240-2723",
"fax_number": "808-338-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 ALA KALANIKAUMAKA ST.",
"address_2": "STE.B201",
"city": "KOLOA",
"state": "HI",
"postal_code": "96756",
"telephone_number": "808-742-0999",
"fax_number": "808-742-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POAG",
"first_name": "HOLLY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2020-03-11",
"certification_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101016537",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "DOS-1820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Koloa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.