Active NPI
Adam Joseph Gratz, D.O.
- General Practice Physician
- Hawi, HI
National Provider Identifier
1598895351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- DOS-1090
- Practice address
- 55-515 Hawi Rd
Hawi, HI 96719-9997 - Phone
- (808) 960-3311
- Fax
- (866) 263-1889
- NPI assigned
- Mar 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DOS-1090 | HI | Primary |
Addresses
Primary practice location
55-515 Hawi Rd
Hawi, HI 96719-9997
Mailing address
PO Box 820
Kapaau, HI 96755-0820
Phone (808) 854-1684
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E07702 | Other | HI | CERTIFICATE OF REGISTRATION FOR CONTROLLED SUBSTANCES |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duerler, Inc. | Current | Accepting new patients | |
| Bodypro Physical Therapy Inc | Past | Accepting new patients |
Locations
64-1032 Mamalahoa Hwy
Ste 306
Kamuela, HI 96743
Phone (808) 769-5010
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.
-
dba Bodypro Physical Therapy
- Physical Therapist
- Kamuela, HI
- NPI 1235397589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1598895351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820",
"city": "KAPAAU",
"state": "HI",
"postal_code": "967550820",
"telephone_number": "808-854-1684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55-515 HAWI RD",
"city": "HAWI",
"state": "HI",
"postal_code": "967199997",
"telephone_number": "808-960-3311",
"fax_number": "866-263-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRATZ",
"first_name": "ADAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-07",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "DOS-1090",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATE OF REGISTRATION FOR CONTROLLED SUBSTANCES",
"identifier": "E07702",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hawi, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.