Jonathan Buchanon Pellett, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

10148 Issued in HI

Practice address

1310 Punahou St
Honolulu, HI 96826-1027

Phone

(808) 941-4466

Fax

(808) 951-3718

NPI assigned

Aug 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Shriners Hospitals for Children

  • Children's Hospital
  • Honolulu, HI
  • NPI 1932448115
  Medicare reassignment
• Shriners Hospitals for Children

  • Children's Hospital
  • Honolulu, HI
  • NPI 1316065360
  NPD
• Shriners Hospitals for Children

  • Orthopaedic Surgery Physician
  • Lexington, KY
  • NPI 1700223559
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354233600000",
    "number": "1487769816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8500",
            "address_2": "LOCKBOX 7642",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191787642",
            "telephone_number": "813-281-8115",
            "fax_number": "813-281-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PUNAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261027",
            "telephone_number": "808-941-4466",
            "fax_number": "808-951-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETT",
        "first_name": "JONATHAN",
        "middle_name": "BUCHANON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2012-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "10148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000837339A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pegasus Realm LLC
• Jearld Peguese
• Alaia Sarania Peifer
• Jane J Pelkey, RN, MPHCDE
• Rebecca Allison Pell, NP
• Crystal Pena
• Sylvia Pena
• Bhakti Penaroza
• Calvin W Peng, PHARM.D.
• Angela Penn, M.D.

• Orthopaedic Surgery Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Orthopaedic Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.