Organization Active NPI

Big Island Endoscopy Center, LLC

  • Endoscopy Clinic/Center
  • Kamuela, HI
National Provider Identifier
1689605354
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
FSOF-14 Issued in HI
Legal business name
BIG ISLAND ENDOSCOPY CENTER, LLC
Practice address
64-5188 Kinohou St
Kamuela, HI 96743-8409
Phone
(808) 887-0600
Fax
(808) 887-6699
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Dr. Ron D Ah Loy, M.D.NPI 1598795403
Title
Owner
Phone
(808) 887-0600

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
Endoscopy Clinic/Center 261QE0800X FSOF-14 HI Primary

Addresses

Primary practice location

64-5188 Kinohou St
Kamuela, HI 96743-8409

Mailing address

64-5188 Kinohou St
Kamuela, HI 96743-8409
Phone (808) 887-0600

Other identifiers 1

IdentifierTypeStateIssuer
56698701MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050223000167 HI Part B Supplier - Ambulatory Surgical Center 5294788949 Practice locations: Kamuela, HI

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Big Island Endoscopy CenterCCN 12C0001013
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1689605354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-5188 KINOHOU ST",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438409",
            "telephone_number": "808-887-0600",
            "fax_number": "808-887-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-5188 KINOHOU ST",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438409",
            "telephone_number": "808-887-0600",
            "fax_number": "808-887-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG ISLAND ENDOSCOPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "AH LOY",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-887-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "HI",
            "license": "FSOF-14",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56698701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.