Organization Active NPI

Magdy Mettias MD Inc

  • Point of Service
  • Waipahu, HI
National Provider Identifier
1568627909
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
7466 Issued in HI
Legal business name
MAGDY METTIAS MD INC
Practice address
94-300 Farrington Hwy # E6
Waipahu, HI 96797-2699
Phone
(808) 671-1988
Fax
(808) 677-0555
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Dr. Magdy A Mettias, M.D.NPI 1033276209
Title
Owner/President
Phone
(808) 671-1988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 7466 HI Primary

Addresses

Primary practice location

94-300 Farrington Hwy # E6
Waipahu, HI 96797-2699

Mailing address

94-300 Farrington Hwy # E6
Waipahu, HI 96797-2699
Phone (808) 671-1988

Other identifiers 1

IdentifierTypeStateIssuer
03508905MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140924001474 HI Part B Supplier - Clinic/Group Practice 2668691635 Receives reassigned benefits from 1 practitioner
Practice locations: Waipahu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D0945710Magdy Mettias, MD94-300 Farrington Hwy, #E-06, Waipahu, HI 96797Certificate of waiverMay 6, 2028

National Provider Directory

National Provider Directory

Locations

94-300 Farrington Hwy
Ste E6
Waipahu, HI 96797
Phone (808) 379-5121

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1568627909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-300 FARRINGTON HWY # E6",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972699",
            "telephone_number": "808-671-1988",
            "fax_number": "808-677-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-300 FARRINGTON HWY # E6",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972699",
            "telephone_number": "808-671-1988",
            "fax_number": "808-677-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGDY METTIAS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "METTIAS",
        "authorized_official_first_name": "MAGDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "808-671-1988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "HI",
            "license": "7466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03508905",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.