Individual provider Active NPI

Emma B Avilla, MD

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1669426862
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-10202 Issued in HI
Practice address
1728 Dillingham Blvd
Honolulu, HI 96819
Phone
(808) 842-1585
Fax
(808) 847-5961
NPI assigned
May 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD-10202 HI Primary

Addresses

Primary practice location

1728 Dillingham Blvd
Honolulu, HI 96819

Mailing address

1728 Dillingham Blvd
Honolulu, HI 96819-4017
Phone (808) 842-1585

Other identifiers 2

IdentifierTypeStateIssuer
B221958OtherHIHMSA
08842801MedicaidHI

Other names 1

  • Dr. Emma B Avilla-Delaney Former name

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
I20051215000817 HI Practitioner - Obstetrics/Gynecology 4688565096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

91 -2139 Fort Weaver Rd
Suite 313
Ewa Beach, HI 96706-3610
Phone (808) 676-0550

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emma B Avilla, MD, Inc Obstetrics & Gynecology CurrentSince Jan 1, 2010 Accepting new patients

Locations

91-2139 Fort Weaver Rd
Ste 313
Ewa Beach, HI 96706
Phone (808) 676-0550

1728 Dillingham Blvd
Honolulu, HI 96819
Phone (808) 842-1585

2055 N King St
Ste 106
Honolulu, HI 96819
Phone (808) 842-1585

Interoperability endpoints

  • Direct secure messaging: emma.avilla@41328919642116.direct.elationemr.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1669426862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 DILLINGHAM BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194017",
            "telephone_number": "808-842-1585",
            "fax_number": "808-847-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 DILLINGHAM BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96819",
            "telephone_number": "808-842-1585",
            "fax_number": "808-847-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILLA",
        "first_name": "EMMA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD-10202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B221958",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08842801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "AVILLA-DELANEY",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.