Organization Active NPI

Angela M Pratt MD Inc

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1669706693
Registry record updated Sep 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD 11096 Issued in HI
Legal business name
ANGELA M PRATT MD INC
Practice address
1319 Punahou St
Suite 920
Honolulu, HI 96826-1088
Phone
(808) 948-8788
Fax
(808) 946-7575
NPI assigned
Sep 23, 2009
Last updated
Sep 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2009

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

Authorized official

Name
Dr. Angela M Pratt, M.D.NPI 1821012741
Title
President
Phone
(808) 948-8788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD 11096 HI Primary

Addresses

Primary practice location

1319 Punahou St
Suite 920
Honolulu, HI 96826-1088

Mailing address

1319 Punahou St
Suite 920
Honolulu, HI 96826-1088
Phone (808) 948-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312000093 HI Part B Supplier - Clinic/Group Practice 2961391578 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D1003435Angela M Pratt, MD1319 Punahou St, #920, Honolulu, HI 96826Provider-performed microscopyAug 28, 2026

National Provider Directory

National Provider Directory

Locations

1319 Punahou St
Ste 801
Honolulu, HI 96826
Phone (808) 203-6580

1319 Punahou St
Ste 920
Honolulu, HI 96826
Phone (808) 941-9600

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1669706693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "SUITE 920",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261088",
            "telephone_number": "808-948-8788",
            "fax_number": "808-946-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "SUITE 920",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261088",
            "telephone_number": "808-948-8788",
            "fax_number": "808-946-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA M PRATT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-23",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-948-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD 11096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.