Individual provider Active NPI

Teresa Dunphy, DO

  • Emergency Medicine Physician
  • Hilo, HI
National Provider Identifier
1689171514
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DOS-2171 Issued in HI
Practice address
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone
(808) 932-3000
NPI assigned
Apr 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DOS-2171 HI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1190 Waianuenue Ave
Hilo, HI 96720-2089

Mailing address

263 Hoomalu St
Hilo, HI 96720-3374
Phone (682) 351-5184

Other practice location 1

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-4093

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
I20210806001983 HI Practitioner - Emergency Medicine 9436400058 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Emergency Physicians Associated IncGroup PAC ID 2860390283, 119 clinicians

Practice addresses (Care Compare)

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5164

Hospital & facility affiliations

  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
  • Kau Hospital Hospital, Pahala, HI, CCN 121301

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS-2171HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Aug 16, 2022 Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Aug 4, 2021 Accepting new patients
Kau Hospital CurrentSince Sep 20, 2022 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Aug 31, 2022 Accepting new patients
Kau Hospital CurrentSince Sep 20, 2022 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Aug 31, 2022 Accepting new patients
Hilo Benioff Medical Center CurrentSince Aug 16, 2022 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients

Locations

1285 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3878

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211

56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

Organizations & group practices 8

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 2

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": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625788800000",
    "number": "1689171514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 HOOMALU ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203374",
            "telephone_number": "682-351-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202089",
            "telephone_number": "808-932-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151623",
            "country_code": "US",
            "telephone_number": "612-873-4093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNPHY",
        "first_name": "TERESA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-08",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "DOS-2171",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.