Individual provider Active NPI

Attilio Avino Jr., DPM

  • Podiatrist
  • Aiea, HI
National Provider Identifier
1568498699
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO173 Issued in HI
Practice address
99-128 Aiea Heights Dr
Suite 205
Aiea, HI 96701-3932
Phone
(808) 487-6903
Fax
(808) 487-6906
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO173 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr
Suite 205
Aiea, HI 96701-3932

Mailing address

99-128 Aiea Heights Dr
Suite 205
Aiea, HI 96701-3932
Phone (808) 487-6903

Other identifiers 4

IdentifierTypeStateIssuer
0000251553OtherHIHMSA
4181619OtherHIUHA
521648OtherHIHMN
565921MedicaidHI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050401000830 HI Practitioner - Podiatry 5698722650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Institute of HawaiiGroup PAC ID 0345297305, 2 clinicians

Practice addresses (Care Compare)

1029 Kapahulu Ave
Suite 307
Honolulu, HI 96816-1332
Phone (808) 487-6903

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as individual
Quality
88.84
Promoting interoperability
98
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue154
Removal of nail tissue729
Removal or shaving of skin growth701
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO173HIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Institute of Hawaii Podiatrist CurrentSince Feb 16, 2005 Accepting new patients

Locations

99-128 Aiea Heights Dr
Ste 205
Aiea, HI 96701
Phone (808) 487-6903

1029 Kapahulu Ave
Ste 307
Honolulu, HI 96816
Phone (808) 524-2100

Interoperability endpoints

  • Direct secure messaging: attilio.avino.1@27128.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1568498699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR",
            "address_2": "SUITE 205",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013932",
            "telephone_number": "808-487-6903",
            "fax_number": "808-487-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR",
            "address_2": "SUITE 205",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013932",
            "telephone_number": "808-487-6903",
            "fax_number": "808-487-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVINO",
        "first_name": "ATTILIO",
        "name_suffix": "Jr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "PO173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000251553",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "4181619",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMN",
            "identifier": "521648",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "565921",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.