Individual provider Active NPI

Amr El-Sergany, M.D.

  • Vascular Surgery Physician
  • Aiea, HI
National Provider Identifier
1639484603
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD19190 Issued in HI
Practice address
98-1079 Moanalua Rd Ste 620
Aiea, HI 96701-4716
Phone
(808) 486-7775
NPI assigned
Aug 13, 2010
Last updated
Jun 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X MD19190 HI
Vascular Surgery Physician 2086S0129X MD19190 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd Ste 620
Aiea, HI 96701-4716

Mailing address

98-1079 Moanalua Rd Ste 620
Aiea, HI 96701-4716
Phone (808) 486-7775

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
I20170821002185 HI Practitioner - Vascular SurgeryPractitioner - General Surgery 0042523789 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Florida College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Vascular Associates LLCGroup PAC ID 9537598859, 12 clinicians

Practice addresses (Care Compare)

99 -115 Aiea Heights Dr
Suite 276B
Aiea, HI 96701-3924
Phone (808) 784-3050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.15 of 100Reported as group
Quality
16.73
Improvement activities
40
Cost
78.22

Merit-based Incentive Payment System (MIPS)

Final score
70.16 of 100Reported as group
Quality
40
Improvement activities
40
Cost
71.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)248
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD19190HIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Vascular Associates, LLC Vascular Surgery CurrentSince Mar 1, 2020 Accepting new patients
Russell N Harada MD Inc CurrentSince Aug 5, 2017 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jul 24, 2017 Accepting new patients
Pacific Vascular Institute-Kona CurrentSince Nov 1, 2020 Accepting new patients
Aloha Wound Care Group LLC PastSince Jun 1, 2020 Accepting new patients
Delta Sierra Medical Group, Inc PastSince Dec 7, 2025 Accepting new patients

Locations

2325 W Victory Blvd
Ste 1
Burbank, CA 91506

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

98-1079 Moanalua Rd
Ste 620
Aiea, HI 96701
Phone (808) 486-0429

99-115 Aiea Heights Dr
Ste 246
Aiea, HI 96701
Phone (808) 384-3050

99-115 Aiea Heights Dr
Ste 276
Aiea, HI 96701
Phone (808) 486-7775

99-115 Aiea Heights Dr
Ste 276B
Aiea, HI 96701
Phone (352) 870-7393

1276 Kinoole St
Hilo, HI 96720
Phone (808) 935-7181

75 Puuhonu Pl
Ste 204
Hilo, HI 96720
Phone (808) 731-7409

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

75-170 Hualalai Rd
Ste D216A
Kailua Kona, HI 96740
Phone (808) 313-8338

75-184 Hualalai Rd
Ste 100-101
Kailua Kona, HI 96740
Phone (805) 975-7463

85-910 Farrington Hwy
Ste 104
Waianae, HI 96792
Phone (808) 850-1892

210 Imi Kala St
Ste 102
Wailuku, HI 96793
Phone (808) 444-3477

Interoperability endpoints

  • Direct secure messaging: amr.elsergany.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 7

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592265600000",
    "number": "1639484603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 620",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014716",
            "telephone_number": "808-486-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 620",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014716",
            "telephone_number": "808-486-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-SERGANY",
        "first_name": "AMR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-13",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "HI",
            "license": "MD19190",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "HI",
            "license": "MD19190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.