Individual provider Active NPI

Darren S Geliga, PA-C

  • Medical Physician Assistant
  • Kailua Kona, HI
National Provider Identifier
1508804584
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1052842 Issued in HI
Practice address
75-6107 Hoomama St
Kailua Kona, HI 96740-7953
Phone
(808) 329-9082
Fax
(808) 329-9082
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1052842 HI Primary

Addresses

Primary practice location

75-6107 Hoomama St
Kailua Kona, HI 96740-7953

Mailing address

75-170 Hualalai Rd
Ste C110
Kailua Kona, HI 96740-1780
Phone (808) 329-9211

Other identifiers 2

IdentifierTypeStateIssuer
00G0235270OtherHIHMSA
55623507MedicaidHI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040407001174 HI Practitioner - Physician Assistant 2062405707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MKK Healthcare IncGroup PAC ID 2961647086, 2 clinicians

Practice addresses (Care Compare)

75 -184 Hualalai Rd
Suite 203
Kailua Kona, HI 96740-1719
Phone (808) 329-9211

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Hilo, HI, CCN 127312
  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1052842HIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. Past Accepting new patients
Orchid Isle Neurology, LLC Past Accepting new patients
West Hawaii Community Health Center, Inc. Past Accepting new patients
Keauhou Urgent Care Incorporated PastSince Jan 1, 2005 Accepting new patients
Housecalls of Hawaii LLC Past Accepting new patients

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1508804584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-170 HUALALAI RD",
            "address_2": "STE C110",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401780",
            "telephone_number": "808-329-9211",
            "fax_number": "808-329-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-6107 HOOMAMA ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967407953",
            "telephone_number": "808-329-9082",
            "fax_number": "808-329-9082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELIGA",
        "first_name": "DARREN",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "1052842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00G0235270",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55623507",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.