Individual provider Active NPI

Malia Lewis Keolanui, APRN

  • Nurse Practitioner
  • Hilo, HI
National Provider Identifier
1558870600
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2326 Issued in HI
Practice address
Gastroenterology Assos. 134 Puuhonu PL PL
Hilo, HI 96720
Phone
(808) 329-0111
Fax
(808) 365-5811
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2326 HI
Nurse Practitioner 363L00000X 2326 HI Primary

Addresses

Primary practice location

Gastroenterology Assos. 134 Puuhonu PL PL
Hilo, HI 96720

Mailing address

27-2470 Kahala PL
Hilo, HI 96720
Phone (808) 640-3466

Other practice location 1

53 S Puunene Ave
101
Kahului, HI 96732
Phone (808) 873-2020

Other names 1

  • Malia Vannatta Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171212002140 HI Practitioner - Nurse Practitioner 3971861378 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates IncGroup PAC ID 9335039767, 4 clinicians

Practice addresses (Care Compare)

134 Puuhonu Way
Hilo, HI 96720-2066
Phone (808) 969-3979

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as group
Quality
95.56
Improvement activities
40
Cost
79.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2326HIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates, Inc CurrentSince Feb 10, 2022 Accepting new patients

Locations

134 Puuhonu Way
Hilo, HI 96720
Phone (808) 935-1956

Interoperability endpoints

  • Direct secure messaging: malia.vannatta@20467783892996.direct.elationemr.com
  • Direct secure messaging: malia.vannatta@75163384938500.direct.elationemr.com

Organizations & group practices 2

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1558870600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27-2470 KAHALA PL",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-640-3466",
            "fax_number": "808-365-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GASTROENTEROLOGY ASSOS. 134 PUUHONU PL PL",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-329-0111",
            "fax_number": "808-365-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 S Puunene Ave",
            "address_2": "101",
            "address_purpose": "LOCATION",
            "city": "Kahului",
            "state": "HI",
            "postal_code": "96732",
            "country_code": "US",
            "telephone_number": "808-873-2020",
            "fax_number": "808-446-8015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEOLANUI",
        "first_name": "MALIA",
        "middle_name": "LEWIS",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "HI",
            "license": "2326",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALIA",
            "last_name": "VANNATTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.