Active NPI
Vanessa De Domenico Osedo-Bleecher, M.D.
- Internal Medicine Physician
- Kamuela, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18437
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midpacific Hospitalists LLC | Internal Medicine | Current | Accepting new patients |
| Honokaa Hospital & Skilled Nursing | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| The Queen's Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Honokaa Hospital & Skilled Nursing | Current | 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.
-
- Internal Medicine Physician
- Kailua, HI
- NPI 1053778217
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Critical Access Hospital
- Honokaa, HI
- NPI 1164506317
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- General Practice Physician
- Honokaa, HI
- NPI 1992398895
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
dba HEPA, Inc.
- Emergency Medicine Physician
- Kailua, HI
- NPI 1801843198
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1477559029
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.