Individual provider Active NPI

Joseph A D'Angelo, M.D.

  • Pediatric Cardiology Physician
  • Hilo, HI
National Provider Identifier
1679667190
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
MD-8588 Issued in HI
Practice address
460 Kilauea Ave Ste 103
Hilo, HI 96720-3084
Phone
(808) 333-3600
Fax
(808) 933-2983
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X MD-8588 HI Primary

Addresses

Primary practice location

460 Kilauea Ave Ste 103
Hilo, HI 96720-3084

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 333-3600

Other practice location 1

198 Ponahawai St
Hilo, HI 96720-3027
Phone (808) 933-2982

Other identifiers 3

IdentifierTypeStateIssuer
00B0214219OtherHIHMSA/QUEST HMSA
08768001OtherHIALOHA CARE
08768002MedicaidHI

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-8588HIMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Hawaii Community Health Center, Inc. PastSince May 8, 2022 Accepting new patients
West Hawaii Community Health Center, Inc. Pediatric Cardiology PastSince May 8, 2022 Accepting new patients
West Hawaii Community Health Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joseph.dangelo@hawaiihie.medicity.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1679667190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-333-3600",
            "fax_number": "808-961-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 KILAUEA AVE STE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203084",
            "telephone_number": "808-333-3600",
            "fax_number": "808-933-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "198 Ponahawai St",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967203027",
            "country_code": "US",
            "telephone_number": "808-933-2982",
            "fax_number": "808-933-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "D'ANGELO",
        "first_name": "JOSEPH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "HI",
            "license": "MD-8588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/QUEST HMSA",
            "identifier": "00B0214219",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "08768001",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08768002",
            "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 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.