Individual provider Active NPI

Holly Marie Poag, D.O.

  • Emergency Medicine Physician
  • Koloa, HI
National Provider Identifier
1376755330
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DOS-1820 Issued in HI
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

Updated by the provider on Mar 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Maui Memorial Emergency Medical Associates IncGroup PAC ID 7618224981, 23 clinicians
Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, 46 clinicians

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 Hospital, Wailuku, HI, CCN 120002
  • Samuel Mahelona Memorial Hospital Hospital, Kapaa, HI, CCN 121306

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Aug 19, 2024 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jan 1, 2024 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Mar 15, 2021 Accepting new patients
Maui Memorial Emergency Medical Associates Inc Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Kauai Medical Clinic CurrentSince Sep 11, 2024 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Mar 15, 2021 Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Nov 1, 2018 Accepting new patients
Straub Clinic & Hospital CurrentSince Aug 19, 2024 Accepting new patients
Kauai Medical Clinic CurrentSince Sep 11, 2024 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.