Active NPI
Ly M. Gau, DO
- Geriatric Medicine (Family Medicine) Physician
- Kailua Kona, HI
National Provider Identifier
1386696318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- DOS-1405
- Practice address
- 78-6831 Ali'I Drive
Suite 328
Kailua-Kona, HI 96740 - Phone
- (808) 747-8321
- Fax
- (808) 334-0930
- NPI assigned
- May 17, 2006
- Last updated
- Jun 12, 2012
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | 5101013844 | MI | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | DOS-1405 | HI | Primary |
Addresses
Primary practice location
78-6831 Ali'I Drive
Suite 328
Kailua-Kona, HI 96740
Mailing address
78-6831 Ali'I Drive
Suite 328
Kailua-Kona, HI 96740
Phone (808) 747-8321
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114766241 | Medicaid | MI |
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
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
78 -6831 Alii Dr
Suite 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-1405 | HI | MD | Geriatric Medicine (Family Medicine) Physician |
| 5101013844 | MI | MD | Geriatric Medicine (Family Medicine) Physician |
| 1149 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali'I Health Center | Current | Accepting new patients | |
| Alii Health Center | Current | Accepting new patients | |
| Alii Health Center | Past | Accepting new patients | |
| Memorial Hospital | Past | Accepting new patients |
Locations
78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321
78-6831 Alii Dr
Ste 418
Kailua Kona, HI 96740
Phone (808) 747-8725
78-6831 Alii Dr
Ste 422
Kailua Kona, HI 96740
Phone (808) 747-8321
Interoperability endpoints
- ly.gau@hawaiihie.medicity.net
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Kailua Kona, HI
- NPI 1285107698
-
dba Ali'i Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Kailua Kona, HI
- NPI 1144949967
-
- Urology Physician
- Kailua Kona, HI
- NPI 1225620321
-
dba Memorial Medical Associates
- Anesthesiology Physician
- Owosso, MI
- NPI 1659527737
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339459200000",
"number": "1386696318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78-6831 ALI'I DRIVE",
"address_2": "SUITE 328",
"city": "KAILUA-KONA",
"state": "HI",
"postal_code": "96740",
"telephone_number": "808-747-8321",
"fax_number": "808-331-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78-6831 ALI'I DRIVE",
"address_2": "SUITE 328",
"city": "KAILUA-KONA",
"state": "HI",
"postal_code": "96740",
"telephone_number": "808-747-8321",
"fax_number": "808-334-0930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAU",
"first_name": "LY",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2012-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "MI",
"license": "5101013844",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "HI",
"license": "DOS-1405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114766241",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.