Phillip Waiholo Reyes, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-6127 Issued in HI

Practice address

39 Ala Malama
Kaunakakai, HI 96748

Phone

(808) 553-5353

Fax

(808) 553-4269

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Aluli and Reyes LLP

  • Family Medicine Physician
  • Kaunakakai, HI
  • NPI 1609124221
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508938069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5567 POOLA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211561",
            "telephone_number": "808-373-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 ALA MALAMA",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "96748",
            "telephone_number": "808-553-5353",
            "fax_number": "808-553-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "PHILLIP",
        "middle_name": "WAIHOLO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-6127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055912-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pakolea Rehab
• Susan Peabody, O.T.R.
• Mark Silvio Pedri, D.O. M.P.H.
• James T Power III, MD
• Kawena Puhi
• Jonathan Russo, RN
• Minnie Sanchez
• Cora Linn Schnackenberg, MA
• Manuel Smith Jr., RN
• St. Francis Medical Center - Molokai Dialysis

• All providers in Kaunakakai, HI
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.