Individual provider Active NPI

Joseph Robert Giannasio, M.D.

  • Psychiatry Physician
  • Kailua, HI
National Provider Identifier
1457560039
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2966 Issued in HI
Practice address
264 Kahako St
Kailua, HI 96734-5904
Phone
(808) 479-7812
Fax
(808) 263-5813
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

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
Psychiatry Physician 2084P0800X 2966 HI Primary

Addresses

Primary practice location

264 Kahako St
Kailua, HI 96734-5904

Mailing address

264 Kahako St
Kailua, HI 96734-5904
Phone (808) 479-7812

Other identifiers 1

IdentifierTypeStateIssuer
HI02966MedicaidHI

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
I20100202000747 HI Practitioner - Psychiatry 8628111457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care Hawaii, Inc.Group PAC ID 4789726415, 2 clinicians

Practice addresses (Care Compare)

197 Sand Island Rd
Suite 200
Honolulu, HI 96819-4901
Phone (808) 533-3936

3501 Rice St
Suite 2020
Lihue, HI 96766-1757
Phone (808) 245-7548

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2966HIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Hawaii, Inc. PastSince Mar 19, 2023 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457560039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 KAHAKO ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345904",
            "telephone_number": "808-479-7812",
            "fax_number": "808-263-5813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 KAHAKO ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345904",
            "telephone_number": "808-479-7812",
            "fax_number": "808-263-5813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNASIO",
        "first_name": "JOSEPH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "2966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HI02966",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.