Individual provider Active NPI

Arleen Atienza Ricalde-Garcia, M.D.

  • Internal Medicine Physician
  • Wailuku, HI
National Provider Identifier
1508878497
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD9947 Issued in HI
Practice address
95 Mahalani St RM 4
Wailuku, HI 96793-2521
Phone
(808) 442-6856
Fax
(808) 249-0107
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD9947 HI Primary

Addresses

Primary practice location

95 Mahalani St RM 4
Wailuku, HI 96793-2521

Mailing address

95 Mahalani St RM 4
Wailuku, HI 96793-2521
Phone (808) 442-6856

Other identifiers 3

IdentifierTypeStateIssuer
MD9947OtherHITRICARE CHAMPUS
218552OtherHIHMSA, HMSA QUEST, 65CP
867543OtherHIUHA

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
I20111108000442 HI Practitioner - Internal Medicine 3678746658 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hui No Ke Ola Pono, Inc. Internal Medicine CurrentSince Jun 4, 2020 Accepting new patients

Locations

95 Mahalani St
Rm 4
Wailuku, HI 96793
Phone (808) 442-6856

95 Mahalani St
Rm 21
Wailuku, HI 96793
Phone (808) 244-4647

Interoperability endpoints

  • Direct secure messaging: arleen.ricalde-garcia@thehui.directbygreenway.com

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1508878497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 MAHALANI ST RM 4",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932521",
            "telephone_number": "808-442-6856",
            "fax_number": "808-249-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MAHALANI ST RM 4",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932521",
            "telephone_number": "808-442-6856",
            "fax_number": "808-249-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICALDE-GARCIA",
        "first_name": "ARLEEN",
        "middle_name": "ATIENZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD9947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE  CHAMPUS",
            "identifier": "MD9947",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA, HMSA QUEST, 65CP",
            "identifier": "218552",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "867543",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.