Active NPI
Don L Halouska, M.D.
- Diagnostic Radiology Physician
- Wailuku, HI
National Provider Identifier
1558348359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 19634
- Practice address
- 2180 Main St
Wailuku, HI 96793-1625 - Phone
- (808) 242-6464
- Fax
- (808) 242-4210
- NPI assigned
- Dec 22, 2005
- Last updated
- Sep 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 19634 | CO | Primary |
Addresses
Primary practice location
2180 Main St
Wailuku, HI 96793-1625
Mailing address
2180 Main St
Wailuku, HI 96793-1625
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558348359 | Medicaid | UT | |
| 200418170A | Medicaid | KS | |
| 300090374 | Other | CO | RR MCRE DIA |
| 117233600 | Medicaid | WY | |
| 922600 | Medicaid | AZ | |
| 104693065 | Medicaid | MI | |
| 300064090 | Other | CO | RR MCRE MIC |
| 01121668 | Medicaid | NY | |
| 01196344 | Medicaid | CO | |
| 300064740 | Other | CO | RR MCRE RIA |
| XPY204749 | Medicaid | CA | |
| 0597948 | Medicaid | IA | |
| 8493017 | Medicaid | WA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Nebraska College of Medicine, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2180 Main St
Wailuku, HI 96793-1625
Phone (808) 242-6464
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.93 of 100
- Quality
- 70.26
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 87.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19634 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Imaging of Nebraska, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Medical Imaging of Colorado Radiology Imaging Assc PC Etal PT | Diagnostic Radiology | Past | Accepting new patients |
| Diagnostic Imaging Associates | Diagnostic Radiology | Past | Accepting new patients |
| Radiology Imaging Associates, PC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2180 Main St
Wailuku, HI 96793
Phone (808) 242-4267
Organizations & group practices 5
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.
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- Englewood, CO
- NPI 1336188234
-
- Diagnostic Radiology Physician
- Englewood, CO
- NPI 1679513196
-
- Diagnostic Radiology Physician
- Scottsbluff, NE
- NPI 1184869901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1558348359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2180 MAIN ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2180 MAIN ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931625",
"telephone_number": "808-242-6464",
"fax_number": "808-242-4210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALOUSKA",
"first_name": "DON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-22",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "19634",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558348359",
"state": "UT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200418170A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCRE DIA",
"identifier": "300090374",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117233600",
"state": "WY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "922600",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104693065",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCRE MIC",
"identifier": "300064090",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01121668",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01196344",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCRE RIA",
"identifier": "300064740",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY204749",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0597948",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8493017",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.