Individual provider Active NPI

Donald Elder, MD

  • Family Medicine Physician
  • Waikoloa, HI
National Provider Identifier
1497743025
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD8089 Issued in HI
Practice address
68-3756 Kimo Nui St
Waikoloa, HI 96738-5111
Phone
(808) 854-7007
Fax
(808) 215-7868
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01028126A IN
Family Medicine Physician 207Q00000X MD8089 HI Primary

Addresses

Primary practice location

68-3756 Kimo Nui St
Waikoloa, HI 96738-5111

Mailing address

68-3756 Kimo Nui St
Waikoloa, HI 96738-5111
Phone (808) 854-7007

Other identifiers 1

IdentifierTypeStateIssuer
050005MedicaidHI

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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Past Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Family Medicine Past Accepting new patients
Robert Watkins Emergency Group, LLC Past Accepting new patients
Cypress Medical Associates, PSC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1497743025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-3756 KIMO NUI ST",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385111",
            "telephone_number": "808-854-7007",
            "fax_number": "808-215-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-3756 KIMO NUI ST",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385111",
            "telephone_number": "808-854-7007",
            "fax_number": "808-215-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "DONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01028126A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD8089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050005",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waikoloa, HI

Sources for this page

Verify at the official NPI Registry.