Irene Papaconstadopoulos, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD-19889 Issued in HI

Practice address

141 Hekuawa St
Haiku, HI 96708-7009

Phone

(732) 923-7250

Fax

(732) 923-7255

NPI assigned

Jun 21, 2016

Last updated

Aug 1, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: irene.papaconstadopoulos.1@26337.direct.athenahealth.com

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.

• Champs Pediatrics

  • Pediatrics Physician
  • Haiku, HI
  • NPI 1952911372
  NPD Authorized official
• Maui Pediatric Care LLC

  • Pediatric Obesity Medicine Physician
  • Kahului, HI
  • NPI 1508799065
  NPD Authorized official

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596240000000",
    "number": "1508216524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 HEKUAWA ST",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967087009",
            "telephone_number": "732-923-7250",
            "fax_number": "732-923-7255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 HEKUAWA ST",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967087009",
            "telephone_number": "732-923-7250",
            "fax_number": "732-923-7255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406303",
            "country_code": "US",
            "telephone_number": "732-923-7250",
            "fax_number": "732-923-7255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Kalepa Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "967322471",
            "country_code": "US",
            "telephone_number": "732-923-7250",
            "fax_number": "732-923-7255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPACONSTADOPOULOS",
        "first_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-21",
        "last_updated": "2020-08-01",
        "certification_date": "2020-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-19889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "827892",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "808pediatrics.com",
            "affiliation": "N",
            "address_1": "141 Hekuawa St",
            "city": "Haiku",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967087009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• North Shore Physical Therapy Inc.
• Ohana Access LLC
• Laura Elisa Olvera Espinoza, LMT
• On Point Physical Therapy, LLC
• Jonath Padilla, LMT
• Juliette Paradiso, MT
• Miyuki Patricio, RBT
• Jensine Faith Pedersen
• Marilou Penner, MSW LCSW
• Physical Therapy on the Rock

• Pediatrics Physician in Haiku, HI
• Providers in Haiku, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.

Verify at the official NPI Registry.