Glenn A Rediger, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 4167 Issued in HI

Practice address

915 N King St
Honolulu, HI 96817-4544

Phone

(808) 843-7239

Fax

(808) 841-1265

NPI assigned

Oct 3, 2006

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 HI

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

Internal Medicine

Education

Indiana University School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kalihi Palama Health CenterGroup PAC ID 4284544842, 28 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: glenn.rediger.1@28780.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/28780/brand/1/csg/1/fhir/r4
• Direct secure messaging: glenn.rediger@hawaiihie.medicity.net

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.

• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1457304966
  Medicare reassignment Care Compare group NPD
• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1235908831
  NPD
• Kalihi Palama

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1831510924
  NPD (past)
• Kalihi Palama Health Center

  • Clinic Pharmacy
  • Honolulu, HI
  • NPI 1376842492
  NPD (past)
• Kalihi Palama Health Center

  • Clinic Pharmacy
  • Honolulu, HI
  • NPI 1447559083
  NPD (past)
• Kalihi Palama Health Center

  • Clinic Pharmacy
  • Honolulu, HI
  • NPI 1659643427
  NPD (past)
• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1881632156
  NPD (past)
• Kalihi-Palama Health Center

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1013667740
  NPD (past)
• Kalihi-Palama Health Center

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1215679592
  NPD (past)
• Kalihi-Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1417127507
  NPD (past)
• Kalihi-Palama Health Center

  • Clinic Pharmacy
  • Honolulu, HI
  • NPI 1437689957
  NPD (past)
• Kalihi-Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1467890095
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598859142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174544",
            "telephone_number": "808-843-7239",
            "fax_number": "808-841-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174544",
            "telephone_number": "808-843-7239",
            "fax_number": "808-841-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDIGER",
        "first_name": "GLENN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD 4167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051863101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Venu D. Reddy, M.D.
• Vijaya D. Reddy, M.D.
• Kassidy Rede, PT, DPT
• Redentor C. Rojales, M.D. LLC
• Doreen Gray Redford, LMT
• Lawrence A Redmond, D.C.
• Lisa A Redmond
• Paola Redondo
• Reed S. Shiraki, D.C., Inc
• Daniel Frank Reed, PSY.D.

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.