Individual provider Active NPI

Lulumafuie Fiatoa, M.D.

  • Pediatrics Physician
  • Honolulu, HI
National Provider Identifier
1497800072
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-5016 Issued in HI
Practice address
2219 N School St
Honolulu, HI 96819-2537
Phone
(808) 847-0487
Fax
(808) 847-0576
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-5016 HI Primary

Addresses

Primary practice location

2219 N School St
Honolulu, HI 96819-2537

Mailing address

2219 N School St
Honolulu, HI 96819-2537
Phone (808) 847-0487

Other identifiers 1

IdentifierTypeStateIssuer
01723602MedicaidHI

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
I20150212001743 HI Practitioner - Pediatric MedicinePractitioner - General Practice 1052636164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: General Practice
Education
University of Hawaii John a. Burns School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

94-307 Farrington Hwy
Suite A10
Waipahu, HI 96797-2500
Phone (808) 200-3305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-5016HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lulumafuie Fiatoa, M.D. LLC Pediatrics CurrentSince Nov 23, 2014 Accepting new patients

Locations

94-307 Farrington Hwy
Ste A10
Waipahu, HI 96797
Phone (808) 200-3305

94-307 Farrington Hwy
Ste B01
Waipahu, HI 96797
Phone (808) 200-3305

Organizations & group practices 1

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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497800072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192537",
            "telephone_number": "808-847-0487",
            "fax_number": "808-847-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 N SCHOOL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192537",
            "telephone_number": "808-847-0487",
            "fax_number": "808-847-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIATOA",
        "first_name": "LULUMAFUIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-5016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01723602",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.