NPIMap

Individual provider Active NPI

Henry Myrick Daniels I, M.D.

  • Orthopaedic Surgery Physician
  • Hilo, HI
National Provider Identifier
1639123045
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101039512 Issued in VA
Practice address
82 Puuhonu PL
Suite# 205
Hilo, HI 96720-2010
Phone
(808) 933-2400
Fax
(808) 933-2442
NPI assigned
May 20, 2006
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD-4154 HI
Orthopaedic Surgery Physician 207X00000X 0101039512 VA Primary

Addresses

Primary practice location

82 Puuhonu PL
Suite# 205
Hilo, HI 96720-2010

Mailing address

5866 Leesburg Pike
Falls Church, VA 22041-2309

Other practice location 1

5866 Leesburg Pike
Falls Church, VA 22041-2309
Phone (703) 820-1015

Other identifiers 1

IdentifierTypeStateIssuer
256365-03MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-4154HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Wash Ortho Association Orthopaedic Surgery Past Accepting new patients
American International Orthopaedic Association, LLC Orthopaedic Surgery Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients
Norton Community Physician Services LLC Past Accepting new patients
Norton Community Physician Services LLC Orthopaedic Surgery Past Accepting new patients

Organizations & group practices 6

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1639123045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 LEESBURG PIKE",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 PUUHONU PL",
            "address_2": "SUITE# 205",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202010",
            "telephone_number": "808-933-2400",
            "fax_number": "808-933-2442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5866 Leesburg Pike",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220412309",
            "country_code": "US",
            "telephone_number": "703-820-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "HENRY",
        "middle_name": "MYRICK",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD-4154",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101039512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256365-03",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.