Maria Caridad Ilar-Revilla, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9394 Issued in HI

Practice address

94-866 Moloalo St # 1B
Waipahu, HI 96797-3354

Phone

(808) 677-5832

Fax

(808) 671-9109

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

University of Hawaii John a. Burns School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: maria.ilarrevilla@26086955548676.direct.elationemr.com

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.

• Maria Caridad Ilar-Revilla Community Health Clinic LLC

  • Medical Specialty Clinic/Center
  • Waipahu, HI
  • NPI 1386944437
  Medicare reassignment NPD Authorized official

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

• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500422400000",
    "number": "1619980471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-866 MOLOALO ST # 1B",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973349",
            "telephone_number": "808-677-5832",
            "fax_number": "808-671-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-866 MOLOALO ST # 1B",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973354",
            "telephone_number": "808-677-5832",
            "fax_number": "808-671-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ILAR-REVILLA",
        "first_name": "MARIA",
        "middle_name": "CARIDAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "9394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vyvy Huynh
• Lea Iaea
• Jesse Ignacio
• Ikaika Belding LLC
• Jason Hanji Ikeno, D.D.S.
• Jasmine Nancy Imhoff
• Alfred Agsalog Ines, MD
• Kurt A. Ing, OD
• Kimberly Inglis, BCABA
• Dominic Kihano Inocelda, LCSW

• Internal Medicine Physician in Waipahu, HI
• Providers in Waipahu, 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 19, 2017; 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.