Active NPI
Elizabeth Ann Ignacio, M.D.
- Vascular & Interventional Radiology Physician
- Kahului, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- MD 32700
- Practice address
- 71 Kamaiki Cir
Kahului, HI 96732-3153 - Phone
- (808) 250-7058
- NPI assigned
- Nov 13, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 15771 | HI | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD 32700 | DC | Primary |
Addresses
Primary practice location
71 Kamaiki Cir
Kahului, HI 96732-3153
Mailing address
71 Kamaiki Cir
Kahului, HI 96732-3153
Phone (808) 250-7058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 034279500 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15771 | HI | MD | Diagnostic Radiology Physician |
| MD 32700 | DC | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Maui Diagnostic Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Medical Faculty Associates, Inc | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients |
Locations
111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670
900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
425 Koloa St
Ste 102
Kahului, HI 96732
Phone (808) 873-9551
100 Keokea Pl
Kula, HI 96790
Phone (808) 875-6690
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
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.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Anesthesiology Physician
- Washington, DC
- NPI 1417990581
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
HI
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
-
- Diagnostic Radiology Physician
- Kahului, HI
- NPI 1699952960
-
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1720159593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 KAMAIKI CIR",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967323153",
"telephone_number": "808-250-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 KAMAIKI CIR",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967323153",
"telephone_number": "808-250-7058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IGNACIO",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "15771",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "DC",
"license": "MD 32700",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "034279500",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.