Individual provider Active NPI

D Gary Lattimer, M.D.

  • Urology Physician
  • Honolulu, HI
National Provider Identifier
1386627875
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD7092 Issued in HI
Practice address
1329 Lusitana St
Suite 708
Honolulu, HI 96813-2429
Phone
(808) 537-5445
Fax
(808) 537-1813
NPI assigned
Nov 29, 2005
Last updated
Oct 12, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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 MD7092 HI Primary

Addresses

Primary practice location

1329 Lusitana St
Suite 708
Honolulu, HI 96813-2429

Mailing address

1329 Lusitana St
Suite 708
Honolulu, HI 96813-2429
Phone (808) 537-5445

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
I20051005001228 HI Practitioner - Urology 0345265658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Columbia University College of Physicians and Surgeons, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1329 Lusitana St
Suite 708
Honolulu, HI 96813-2435

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
72.5 of 100Reported as individual
Quality
45
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
MD7092HIMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
D. Gary Lattimer, M.D., Inc Urology CurrentSince Mar 1, 2013 Accepting new patients

Locations

1329 Lusitana St
Ste 708
Honolulu, HI 96813
Phone (808) 537-5445

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286841600000",
    "number": "1386627875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 708",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-537-5445",
            "fax_number": "808-537-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 708",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-537-5445",
            "fax_number": "808-537-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATTIMER",
        "first_name": "D",
        "middle_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2010-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "HI",
            "license": "MD7092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.