Active NPI
Gerald Tariao Montano, D.O.
- Pediatric Adolescent Medicine Physician
- Wailuku, HI
National Provider Identifier
1528370558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- DOS-2343
- Practice address
- 1881 Nani St
Wailuku, HI 96793-1811 - Phone
- (808) 871-7772
- Fax
- (808) 872-4092
- NPI assigned
- Jul 7, 2010
- Last updated
- May 2, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | OS016563 | PA | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | DOS-2343 | HI | Primary |
Addresses
Primary practice location
1881 Nani St
Wailuku, HI 96793-1811
Mailing address
1881 Nani St
Wailuku, HI 96793-1811
Phone (808) 871-7772
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS016563 | PA | MD | Pediatric Adolescent Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Clinic of Maui, Inc. | Current | Accepting new patients | |
| Community Clinic of Maui, Inc. | Current | Accepting new patients | |
| Community Clinic of Maui, Inc. | Current | Accepting new patients | |
| Windber Hospital, Inc. | Past | Accepting new patients |
Locations
1881 Nani St
Wailuku, HI 96793
Phone (808) 871-7772
Organizations & group practices 4
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.
-
dba Malama I Ke Ola Health Center
- Community Health Clinic/Center
- Wailuku, HI
- NPI 1528042561
-
dba Malama I Ke Ola Health Center
- Community Health Clinic/Center
- Wailuku, HI
- NPI 1225281793
-
dba Malama I Ke Ola Health Center
- Federally Qualified Health Center (FQHC)
- Kahului, HI
- NPI 1467346916
-
dba Windber Medical Center
- General Acute Care Hospital
- Windber, PA
- NPI 1275620536
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1528370558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1881 NANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931811",
"telephone_number": "808-871-7772",
"fax_number": "808-872-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1881 NANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931811",
"telephone_number": "808-871-7772",
"fax_number": "808-872-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTANO",
"first_name": "GERALD",
"middle_name": "TARIAO",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-07",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "PA",
"license": "OS016563",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "HI",
"license": "DOS-2343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
- Lee E Miyasato, MD
- Mni Counseling Services, LLC
- Moana Imaging Associates LLC
- David John Moats, L. AC., DIPL. O.M.
- Ariana Rachel Montalto, SPEECH PATHOLOGIST
- Jennie M. H. Montijo, DO
- Morgan K. Strawn, DMD, LLC (Maui Facial and Dental Surgery)
- Nancy A Morgan
- Jennilee Mori-Raphael, MPH, BSW
- Christina Grace Hokulani Morimoto-Camara, MSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.