Individual provider Active NPI

Maria Charito G. Termulo, MD

  • Internal Medicine Physician
  • Wailuku, HI
National Provider Identifier
1538212113
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-11611 Issued in HI
Practice address
1063 Lower Main St Ste C106
Wailuku, HI 96793-6035
Phone
(808) 269-3918
NPI assigned
Jan 18, 2007
Last updated
Apr 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 MD-11611 HI Primary

Addresses

Primary practice location

1063 Lower Main St Ste C106
Wailuku, HI 96793-6035

Mailing address

1063 Lower Main St Ste C106
Wailuku, HI 96793-6035
Phone (808) 269-3918

Other identifiers 2

IdentifierTypeStateIssuer
505844-02MedicaidHI
0000230623OtherHIHMSA BILLING NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

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
I20110404000359 HI Practitioner - Internal Medicine 2163575135 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Saint Louis University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1063 Lower Main St
Suite C106
Wailuku, HI 96793-6035
Phone (808) 269-3918

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wailuku Internal Medicine Clinic LLC CurrentSince Jun 1, 2024 Accepting new patients
Islands Hospice, Inc. CurrentSince May 8, 2025 Accepting new patients
Noel I. Termulo MD, Inc. Internal Medicine CurrentSince May 16, 2009 Accepting new patients
Milestones PastSince Jan 1, 2018 Accepting new patients

Locations

12680 High Bluff Dr
Ste 150
San Diego, CA 92130

820 Mililani St
Ste 400
Honolulu, HI 96813
Phone (808) 550-2552

149 Maa St
Ste 100
Kahului, HI 96732
Phone (808) 856-8989

1063 Lower Main St
Ste C106
Wailuku, HI 96793
Phone (808) 242-6478

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17047/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1538212113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 LOWER MAIN ST STE C106",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967936035",
            "telephone_number": "808-269-3918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 LOWER MAIN ST STE C106",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967936035",
            "telephone_number": "808-269-3918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERMULO",
        "first_name": "MARIA CHARITO",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-11611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505844-02",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000230623",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "55 Maui Lani Pkwy",
            "city": "Wailuku",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967932416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.