Individual provider Active NPI

Adam Joseph Gratz, D.O.

  • General Practice Physician
  • Hawi, HI
National Provider Identifier
1598895351
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
DOS-1090 Issued in HI
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

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
E07702OtherHICERTIFICATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060206000861 HI Practitioner - General PracticePractitioner - Osteopathic Manipulative Medicine 9335153725 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Duerler, Inc. CurrentSince Mar 23, 2021 Accepting new patients
Bodypro Physical Therapy Inc PastSince May 11, 2024 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.

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

Verify at the official NPI Registry.