Active NPI
Ayush Sidde Gowda, MD
- Pediatrics Physician
- Honolulu, HI
National Provider Identifier
1497366389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MDR-8009
- Practice address
- 1319 Punahou St # 741
Honolulu, HI 96826-1080 - Phone
- (808) 369-1234
- Fax
- (808) 369-1212
- NPI assigned
- Aug 13, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MDR-8009 | HI | Primary |
Addresses
Primary practice location
1319 Punahou St # 741
Honolulu, HI 96826-1080
Mailing address
1319 Punahou St # 741
Honolulu, HI 96826-1080
Phone (808) 369-1234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR-8009 | HI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1497366389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST # 741",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261080",
"telephone_number": "808-369-1234",
"fax_number": "808-369-1212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST # 741",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261080",
"telephone_number": "808-369-1234",
"fax_number": "808-369-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDDE GOWDA",
"first_name": "AYUSH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MDR-8009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.