Active NPI
Edward William Gutteling, M.D.
- Adult Reconstructive Orthopaedic Surgery Physician
- Hilo, HI
National Provider Identifier
1407969181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- MD 7826
- Practice address
- 670 Kekuanaoa St
Hilo, HI 96720-4405 - Phone
- (808) 961-2609
- Fax
- (808) 969-3728
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD 7826 | HI | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | MD 7826 | HI | Primary |
Addresses
Primary practice location
670 Kekuanaoa St
Hilo, HI 96720-4405
Mailing address
670 Kekuanaoa St
Hilo, HI 96720-4405
Phone (808) 969-6152
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 073105-04 | Medicaid | HI |
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
- Orthopedic Surgery
- Education
- University of Hawaii John a. Burns School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
45 Mohouli St
Suite 102
Hilo, HI 96720-7210
Phone (808) 961-2609
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 7826 | HI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gutteling Enterprises, LLC | Adult Reconstructive Orthopaedic Surgery | Current | Accepting new patients |
Locations
45 Mohouli St
Ste 102
Hilo, HI 96720
Phone (808) 961-2609
670 Kekuanaoa St
Hilo, HI 96720
Phone (808) 961-2609
45 Mohouli St
Ste 100
Hilo, HI 96720
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DECCBD/Endpoint/DECCBD
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.
-
- Adult Reconstructive Orthopaedic Surgery Physician
- Hilo, HI
- NPI 1235491986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604620800000",
"number": "1407969181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 KEKUANAOA ST",
"city": "HILO",
"state": "HI",
"postal_code": "967204405",
"telephone_number": "808-969-6152",
"fax_number": "808-969-3728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 KEKUANAOA ST",
"city": "HILO",
"state": "HI",
"postal_code": "967204405",
"telephone_number": "808-961-2609",
"fax_number": "808-969-3728"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTTELING",
"first_name": "EDWARD",
"middle_name": "WILLIAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2020-11-06",
"certification_date": "2020-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "HI",
"license": "MD 7826",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "HI",
"license": "MD 7826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "073105-04",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2020; 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.