Active NPI
Dominador Diokno Genio Jr., M.D.
- Family Medicine Physician
- Kailua Kona, HI
National Provider Identifier
1386754257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8532
- Practice address
- 75-5995 Kuakini Hwy
Suite #427
Kailua Kona, HI 96740-2144 - Phone
- (808) 329-3588
- Fax
- (808) 329-3233
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8532 | HI | Primary |
Addresses
Primary practice location
75-5995 Kuakini Hwy
Suite #427
Kailua Kona, HI 96740-2144
Mailing address
75-5995 Kuakini Hwy
Suite #427
Kailua Kona, HI 96740-2144
Phone (808) 329-3588
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 |
|---|---|---|---|---|
| I20050930000013 | HI | Practitioner - General Practice | 0345275160 | Practice locations: Kailua Kona, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8532 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alii Bariatric Center | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/8294/brand/1/csg/1/fhir/r4
- genio.dominador@hawaiihie.medicity.net
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 and National Provider Directory roles.
-
- General Practice Physician
- Kailua Kona, HI
- NPI 1386050169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1386754257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5995 KUAKINI HWY",
"address_2": "SUITE #427",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402144",
"telephone_number": "808-329-3588",
"fax_number": "808-329-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5995 KUAKINI HWY",
"address_2": "SUITE #427",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402144",
"telephone_number": "808-329-3588",
"fax_number": "808-329-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENIO",
"first_name": "DOMINADOR",
"middle_name": "DIOKNO",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "8532",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.