Individual provider Active NPI

Maura I Tresch, M.D.

  • Family Medicine Physician
  • Aiea, HI
National Provider Identifier
1619357373
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-20665 Issued in HI
Practice address
99-902 Moanalua Rd
Aiea, HI 96701-5605
Phone
(708) 916-0098
NPI assigned
Jun 8, 2015
Last updated
Dec 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-20665 HI Primary

Addresses

Primary practice location

99-902 Moanalua Rd
Aiea, HI 96701-5605

Mailing address

99-902 Moanalua Rd
Aiea, HI 96701-5605
Phone (708) 916-0098

Other practice location 1

2627 Riverside Ave
Jacksonville, FL 32204-4712
Phone (904) 308-7372

Other practice location 2

2014 W 22nd Pl
Chicago, IL 60608-4114
Phone (708) 778-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20170117002567 IL Order and Referring Only - Family PracticePractitioner - Family Practice 5395027874

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-20665HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cura Magna PLLC Multi-Specialty Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maura.tresch@hawaiihie.medicity.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577577600000",
    "number": "1619357373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-902 MOANALUA RD",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015605",
            "telephone_number": "708-916-0098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-902 MOANALUA RD",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015605",
            "telephone_number": "708-916-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2627 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044712",
            "country_code": "US",
            "telephone_number": "904-308-7372",
            "fax_number": "904-308-2908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2014 W 22nd Pl",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606084114",
            "country_code": "US",
            "telephone_number": "708-778-1969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRESCH",
        "first_name": "MAURA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-08",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-20665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.