Individual provider Active NPI

Nicole Yukiko Gesik, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Honolulu, HI
National Provider Identifier
1427224070
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
DOS-1387 Issued in HI
Practice address
1010 S King St
Suite 401
Honolulu, HI 96814-1701
Phone
(808) 521-8170
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X DOS-1387 HI Primary

Addresses

Primary practice location

1010 S King St
Suite 401
Honolulu, HI 96814-1701

Mailing address

1010 S King St
Suite 401
Honolulu, HI 96814-1701
Phone (808) 521-8170

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
I20120925000289 HI Practitioner - Sports Medicine 7214186808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imua Orthopedics Sports and Health LLCGroup PAC ID 1850543497, 2 clinicians

Practice addresses (Care Compare)

1010 S King St
Suite 401
Honolulu, HI 96814-1796
Phone (808) 521-8170

Hospital & facility affiliations

  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imua Orthopedics, Sports & Health, LLC CurrentSince Dec 1, 2012 Accepting new patients
Nicole Y Gesik DO LLC PastSince Dec 1, 2012 Accepting new patients

Locations

1010 S King St
Ste 401
Honolulu, HI 96814
Phone (808) 521-8170

Interoperability endpoints

  • Direct secure messaging: nicole.gesik@hawaiihie.medicity.net

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1427224070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-521-8170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S KING ST",
            "address_2": "SUITE 401",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141701",
            "telephone_number": "808-521-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GESIK",
        "first_name": "NICOLE",
        "middle_name": "YUKIKO",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "HI",
            "license": "DOS-1387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.