Individual provider Active NPI

Vanessa De Domenico Osedo-Bleecher, M.D.

  • Internal Medicine Physician
  • Kamuela, HI
National Provider Identifier
1497165443
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18437 Issued in HI
Practice address
64-1035 Mamalahoa Hwy Ste K
Kamuela, HI 96743-8440
Phone
(808) 885-4507
Fax
(808) 883-9683
NPI assigned
Apr 29, 2014
Last updated
Jan 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 18437 HI Primary

Addresses

Primary practice location

64-1035 Mamalahoa Hwy Ste K
Kamuela, HI 96743-8440

Mailing address

64-1035 Mamalahoa Hwy Ste K
Kamuela, HI 96743-8440
Phone (808) 885-4503

Other names 1

  • None None Other name

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
I20180326002124 HI Practitioner - Internal Medicine 4183986698 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians
Midpacific Hospitalists LLCGroup PAC ID 9335439926, 12 clinicians

Practice addresses (Care Compare)

1380 Lusitana St
Suite 913
Honolulu, HI 96813-2448
Phone (808) 691-8521

67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 885-4444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Midpacific Hospitalists LLC Internal Medicine CurrentSince Jul 9, 2019 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Jan 15, 2020 Accepting new patients
The Queens Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jul 1, 2022 Accepting new patients
The Queen's Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince Jul 1, 2022 Accepting new patients
Queens University Medical Group CurrentSince Jul 1, 2022 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Jan 15, 2020 Accepting new patients
Hawaii Emergency Physicians Associated Inc Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Organizations & group practices 10

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": "1398729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1497165443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-1035 MAMALAHOA HWY STE K",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438440",
            "telephone_number": "808-885-4503",
            "fax_number": "808-883-9683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1035 MAMALAHOA HWY STE K",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438440",
            "telephone_number": "808-885-4507",
            "fax_number": "808-883-9683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEDO-BLEECHER",
        "first_name": "VANESSA",
        "middle_name": "DE DOMENICO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-29",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "18437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.