Individual provider Active NPI

Buddy Karl Festerling, M.D.

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1396816567
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD - 10056 Issued in HI
Practice address
73 Puuhonu PL
Suite 200
Hilo, HI 96720-2060
Phone
(808) 969-7922
Fax
(808) 934-2059
NPI assigned
Nov 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD - 10056 HI Primary

Addresses

Primary practice location

73 Puuhonu PL
Suite 200
Hilo, HI 96720-2060

Mailing address

73 Puuhonu PL
Suite 200
Hilo, HI 96720-2060
Phone (808) 969-7922

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
I20070410000144 HI Practitioner - Family Practice 5991693020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

73 Puuhonu PL
Suite 200
Hilo, HI 96720-2060
Phone (808) 969-7922

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD - 10056HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Family Health Clinic, Inc. Family Medicine CurrentSince Sep 2, 2003 Accepting new patients

Locations

73 Puuhonu Pl
Ste 200
Hilo, HI 96720
Phone (808) 969-7922

Interoperability endpoints

  • Direct secure messaging: buddy.festerling@33558594125828.direct.elationemr.com

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 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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396816567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PUUHONU PL",
            "address_2": "SUITE 200",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202060",
            "telephone_number": "808-969-7922",
            "fax_number": "808-934-2059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PUUHONU PL",
            "address_2": "SUITE 200",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202060",
            "telephone_number": "808-969-7922",
            "fax_number": "808-934-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESTERLING",
        "first_name": "BUDDY",
        "middle_name": "KARL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD - 10056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.