Individual provider Active NPI

Charles D Sonido, DO

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1477042026
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOSR435 Issued in HI
Practice address
70 Olona St
Hilo, HI 96720-5017
Phone
(808) 731-4949
Fax
(808) 731-4950
NPI assigned
May 8, 2018
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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 DOSR435 HI Primary

Addresses

Primary practice location

70 Olona St
Hilo, HI 96720-5017

Mailing address

94-837 Waipahu St
Waipahu, HI 96797-3320
Phone (808) 671-3911

Other practice location 1

94-837 Waipahu St
Waipahu, HI 96797-3320
Phone (808) 671-3911

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
I20210715002736 HI Practitioner - Family Practice 3072852474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlie Y Sonido M D LLCGroup PAC ID 8224931928, 18 clinicians

Practice addresses (Care Compare)

94 -837 Waipahu St
Waipahu, HI 96797-3320
Phone (808) 671-3911

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOSR435HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlie Y Sonido M D LLC CurrentSince Jul 1, 2021 Accepting new patients

Locations

70 Olona St
Hilo, HI 96720
Phone (808) 731-4949

94-837 Waipahu St
Waipahu, HI 96797
Phone (808) 671-3911

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1477042026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-837 WAIPAHU ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973320",
            "telephone_number": "808-671-3911",
            "fax_number": "808-677-2720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 OLONA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205017",
            "telephone_number": "808-731-4949",
            "fax_number": "808-731-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-837 Waipahu St",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967973320",
            "country_code": "US",
            "telephone_number": "808-671-3911",
            "fax_number": "808-677-2720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SONIDO",
        "first_name": "CHARLES",
        "middle_name": "D",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOSR435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.