Andrew A. Fedder, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD13027 Issued in HI

Practice address

78-6831 Ali'I Drive
Suite 422
Kailua-Kona, HI 96740

Phone

(808) 747-8321

Fax

(808) 323-2119

NPI assigned

Dec 28, 2006

Last updated

Jun 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

General Surgery

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Health PartnersGroup PAC ID 6608280268, 497 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
• Community Regional Medical Center Hospital, Fresno, CA, CCN 050060

Merit-based Incentive Payment System (MIPS)

Final score

92.04 of 100Reported as group

Quality

78.62

Promoting interoperability

100

Improvement activities

40

Cost

75.31

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Community Health Partners

  • Multi-Specialty Clinic/Center
  • Fresno, CA
  • NPI 1952912420
  Medicare reassignment Care Compare group NPD
• Hawaii Health Systems Corp

  dba Kona Community Hospital Pharmacy

  • Long Term Care Pharmacy
  • Kealakekua, HI
  • NPI 1639217300
  NPD (past)
• Kona Hospital

  dba Kona Community Hospital

  • General Acute Care Hospital
  • Kealakekua, HI
  • NPI 1952332991
  NPD (past)
• Lawrence a Peebles MD Inc

  • Surgery Physician
  • Kealakekua, HI
  • NPI 1023315306
  NPD (past)
• Michael B. Russo, MD, Inc

  dba Honolulu Neuroscience Clinic

  • Specialist
  • Honolulu, HI
  • NPI 1588957500
  NPD (past)
• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  NPD (past)

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

• Fresno Community Hospital and Medical Center

  dba Community Regional Medical Center

  • General Acute Care Hospital
  • Fresno, CA
  • NPI 1104906569
  Care Compare affiliation
• Fresno Community Hospital and Medical Center

  dba Clovis Community Medical Center

  • General Acute Care Hospital
  • Clovis, CA
  • NPI 1316027709
  Care Compare affiliation

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1588720205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-6831 ALI'I DRIVE",
            "address_2": "SUITE 328",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-747-8321",
            "fax_number": "808-331-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALI'I DRIVE",
            "address_2": "SUITE 422",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-747-8321",
            "fax_number": "808-323-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDDER",
        "first_name": "ANDREW",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD13027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HI03677",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Support Hawaii
• Family Support Services - Kau
• Family Support Services of West Hawaii
• Family Support Services of Westhawaii
• Tess Marianna Fariselli, DPT
• Kerry Hastings Ferguson, N.D
• Madeleine Cash Ferguson, LMFT
• Nathalie Paule Feron
• Anna Brooke Fiedler
• Zena Ann Figueroa

• Surgery Physician in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.

Verify at the official NPI Registry.