Active NPI
Timothy Oldfather, M.D.
- Surgery Physician
- Hilo, HI
National Provider Identifier
1679572952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD3343
- Practice address
- 82 Puuhonu PL
Suite 202
Hilo, HI 96720-2010 - Phone
- (808) 933-3040
- Fax
- (808) 933-3075
- NPI assigned
- Jul 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD3343 | HI | Primary |
Addresses
Primary practice location
82 Puuhonu PL
Suite 202
Hilo, HI 96720-2010
Mailing address
82 Puuhonu PL
Suite 202
Hilo, HI 96720-2010
Phone (808) 933-3040
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C43079 | Other | HI | HMSA PROVIDER NUMBER |
| 03925801 | Medicaid | HI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD3343 | HI | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1679572952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 PUUHONU PL",
"address_2": "SUITE 202",
"city": "HILO",
"state": "HI",
"postal_code": "967202010",
"telephone_number": "808-933-3040",
"fax_number": "808-933-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "82 PUUHONU PL",
"address_2": "SUITE 202",
"city": "HILO",
"state": "HI",
"postal_code": "967202010",
"telephone_number": "808-933-3040",
"fax_number": "808-933-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLDFATHER",
"first_name": "TIMOTHY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "HI",
"license": "MD3343",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER NUMBER",
"identifier": "C43079",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03925801",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.