Roderick Maniago Alfonso, M.D.
Individual provider Active NPI Emergency Medicine Physician · Aiea, HI
NPI 1417310293 · NPPES record last updated Sep 7, 2021
Key facts
- NPI
- 1417310293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- MD-20980 (HI)
- Practice address
- 98-1079 Moanalua Rd
Aiea, HI 96701-4713 - Phone
- (347) 927-4284
- NPI assigned
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.94 of 100
- Quality
- 94.24
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200811001195 | HI | Practitioner - Emergency Medicine | 0648695429 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302354 | NY | MD | Licensed Practical Nurse |
| MD-20980 | HI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Honolulu Kapiolani, LLC | Emergency Medicine | Current |
Accepting new patients |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Incorporated | Current |
Accepting new patients | |
| Waianae District Comprehensive Health and Hospital Board, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physicians of Honolulu Pali Momi, LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301
1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300
86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081
Interoperability endpoints
- roderick.alfonso.p1@direct.wcchc.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 302354 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | MD-20980 | HI | Yes |
Addresses
Primary practice location
98-1079 Moanalua Rd
Aiea, HI 96701-4713
Mailing address
98-1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (347) 927-4284
Other practice location 1
450 Clarkson Ave
Department of Emergency Medicine
Brooklyn, NY 11203-2012
Phone (347) 927-4284
Other practice location 2
98-1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (347) 927-4284
Other practice location 3
451 Clarkson Ave
Brooklyn, NY 11203-2054
Phone (347) 927-4284
Other providers in Aiea, HI
- Lauren Alejo
- Ariane Alexander
- Anitalei D. Alexio
- Alania Alfaro
- Matthew Alfelor
- Kauluwenaikekai Aliason-NA-O
- Alignlife Chiropractic LLC
- Kaliko Allen
- Kaitlyn Aiko Almarez
- Aloha Dental Center
All providers in Aiea, HI · Emergency Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.