Active NPI
Leighann Frattarelli, M.D.
- Specialist
- Kailua, HI
National Provider Identifier
1720030695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD10991
- Practice address
- 407 Uluniu St
Suite 312
Kailua, HI 96734-2519 - Phone
- (808) 262-0544
- Fax
- (808) 262-3744
- NPI assigned
- May 17, 2006
- Last updated
- Dec 16, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MD10991 | HI | Primary |
Addresses
Primary practice location
407 Uluniu St
Suite 312
Kailua, HI 96734-2519
Mailing address
407 Uluniu St
Suite 312
Kailua, HI 96734-2519
Phone (808) 262-0544
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495003-09 | Medicaid | HI | |
| 495003-08 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 15, 2025 through Dec 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD10991 | HI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enhance Hawaii LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Kailua, HI
- NPI 1265392286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229385600000",
"number": "1720030695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 ULUNIU ST",
"address_2": "SUITE 312",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342519",
"telephone_number": "808-262-0544",
"fax_number": "808-262-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ULUNIU ST",
"address_2": "SUITE 312",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342519",
"telephone_number": "808-262-0544",
"fax_number": "808-262-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRATTARELLI",
"first_name": "LEIGHANN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2008-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MD10991",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495003-09",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495003-08",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.