Individual provider Active NPI

John R Engle, MD

  • Family Medicine Physician
  • Marion, OH
National Provider Identifier
1518907203
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.042439 Issued in OH
Practice address
241 Executive Dr
Marion, OH 43302-6307
Phone
(740) 387-3256
Fax
(740) 383-4906
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.042439 OH Primary

Addresses

Primary practice location

241 Executive Dr
Marion, OH 43302-6307

Mailing address

241 Executive Dr
Marion, OH 43302-6307
Phone (740) 387-3256

Other identifiers 1

IdentifierTypeStateIssuer
0458811MedicaidOH

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
I20040115001159 HI Practitioner - Family Practice 7113828831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hui Malama Ola NA OiwiGroup PAC ID 3274559265, 4 clinicians

Practice addresses (Care Compare)

82 Puuhonu PL
Suite 209
Hilo, HI 96720-2010
Phone (808) 796-3125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.042439OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. CurrentSince Feb 19, 2020 Accepting new patients
West Hawaii Community Health Center, Inc. Current Accepting new patients
Randall H. Hirata M.D., Inc. CurrentSince Jul 24, 2022 Accepting new patients
West Hawaii Community Health Center, Inc. Family Medicine CurrentSince Feb 19, 2020 Accepting new patients
Hui Malama Ola NA 'Oiwi CurrentSince Nov 1, 2021 Accepting new patients
West Hawaii Community Health Center, Inc. Family Medicine Current Accepting new patients
Norumbega Medical Specialists, LTD Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Endocrine Specialists of Georgia, LLC PastSince Nov 8, 2020 Accepting new patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 Accepting new patients

Locations

1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082

450 Kilauea Ave
Ste 105
Hilo, HI 96720
Phone (808) 961-4071

305 Wailuku Dr
Ste 6B
Hilo, HI 96720
Phone (808) 765-9163

82 Puuhonu Pl
Ste 209
Hilo, HI 96720
Phone (808) 796-3125

1438 Kilauea Ave
Hilo, HI 96720
Phone (808) 796-3125

16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040

15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAJCBD
  • Direct secure messaging: john.engle@hawaiihie.medicity.net

Organizations & group practices 10

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447891200000",
    "number": "1518907203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026307",
            "telephone_number": "740-387-3256",
            "fax_number": "740-383-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 EXECUTIVE DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026307",
            "telephone_number": "740-387-3256",
            "fax_number": "740-383-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGLE",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.042439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0458811",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.