Nancy Jeanette Smiley, M.D.
Individual provider Active NPI Family Medicine Physician · Honolulu, HI
NPI 1720069412 · NPPES record last updated Dec 13, 2017
Key facts
- NPI
- 1720069412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 12207 (HI)
- Practice address
- 500 Ala Moana Blvd Ste 230
Honolulu, HI 96813-4920 - Phone
- (808) 536-9367
- Fax
- (808) 536-9369
- NPI assigned
- Nov 9, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Straub Clinic and Hospital
Practice addresses (Care Compare)
1100 Ward Ave
Suite 840
Honolulu, HI 96814-1610
Phone (808) 522-4521
888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000
Hospital & facility affiliations
- Straub Clinic and Hospital
- Kapiolani Medical Center for Women & Children
- The Queens Medical Center
- Pali Momi Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160617001829 | HI | Practitioner - Family Practice | 5799922761 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12207 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pali Momi Medical Center | Current |
Accepting new patients | |
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| Pali Momi Medical Center | Current |
Accepting new patients | |
| Straub Clinic & Hospital | Current |
Accepting new patients | |
| Bradley W. Sakaguchi M.D., LLC | Past | Accepting new patients | |
| Straub Clinic & Hospital | Past | Accepting new patients |
Locations
98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
500 Ala Moana Blvd
Ste 230
Honolulu, HI 96813
Phone (808) 536-9367
1100 Ward Ave
Ste 700
Honolulu, HI 96814
Phone (808) 221-8580
94-1211 Farrington Hwy
Waipahu, HI 96797
Phone (808) 271-0353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12207 | HI | Yes |
Addresses
Primary practice location
500 Ala Moana Blvd Ste 230
Honolulu, HI 96813-4920
Mailing address
Waterfront Plaza, Tower Seven
500 Ala Moana Blvd Ste 230
Honolulu, HI 96813-4920
Phone (808) 536-9367
Other providers in Honolulu, HI
- Smarter Medicine Group LLC
- Deborah Hoddick Smatresk
- Richard William Smerz
- Smile World Orthodontics
- Smiles for Keiki Pediatric Dentistry, LLC
- Nares Smitasin
- Smith Family Wellness, LLC
- Alice Boyd Smith
- Blake Andrew Smith
- Blaze Smith
All providers in Honolulu, HI · Family Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.