Active NPI
Delbert V. Peralta, PT
- Physical Therapist
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT-2441
- Practice address
- 2828 Paa St
Honolulu, HI 96819-4405 - Phone
- (808) 432-5888
- NPI assigned
- Oct 16, 2006
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-2441 | HI | Primary |
Addresses
Primary practice location
2828 Paa St
Honolulu, HI 96819-4405
Mailing address
2828 Paa St
Honolulu, HI 96819-4405
Phone (808) 432-5888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56746405 | Medicaid | HI | |
| 00C0251375 | Other | HMSA BILLING NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Pensacola St
Honolulu, HI 96814-2118
Phone (808) 432-2160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-2441 | HI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Fukuji & Lum Physical Therapy Associates Inc. | Physical Therapist | Past | Accepting new patients |
Locations
2828 Paa St
Honolulu, HI 96819
Phone (808) 432-5700
1010 Pensacola St
Honolulu, HI 96814
Phone (808) 432-2000
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
Organizations & group practices 5
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.
-
dba Kaiser Honolulu Clinic Radiology
- Radiology Clinic/Center
- Honolulu, HI
- NPI 1063515567
-
- Physical Therapist
- Waipahu, HI
- NPI 1669612941
-
dba Kaiser Hawaii Kai Clinic Laboratory
- Clinical Medical Laboratory
- Honolulu, HI
- NPI 1851306385
-
dba Kahuku Clinic
- Rural Health Clinic/Center
- Kahuku, HI
- NPI 1245773936
-
- Physical Therapist
- Kailua, HI
- NPI 1205922812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618790400000",
"number": "1679653638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 PAA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194405",
"telephone_number": "808-432-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 PAA ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968194405",
"telephone_number": "808-432-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALTA",
"first_name": "DELBERT",
"middle_name": "V.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2021-04-19",
"certification_date": "2021-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT-2441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56746405",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "00C0251375",
"state": null
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "qualitycare",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "2828 Paa St",
"city": "Honolulu",
"state": "HI",
"country_code": "US",
"postal_code": "968194405",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 19, 2021; 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.