Individual provider Active NPI

Elizabeth Ann Ignacio, M.D.

  • Vascular & Interventional Radiology Physician
  • Kahului, HI
National Provider Identifier
1720159593
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD 32700 Issued in DC
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

Updated by the provider on Jul 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
034279500MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081006000339 DC Practitioner - Diagnostic Radiology 6800964727 Reassigns benefits to 1 organization
I20110419000091 HI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 6800964727 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15771HIMDDiagnostic Radiology Physician
MD 32700DCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center CurrentSince Jul 12, 2021 Accepting new patients
Straub Clinic & Hospital CurrentSince Nov 5, 2019 Accepting new patients
Maui Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Mar 22, 2011 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Straub Clinic & Hospital CurrentSince Nov 5, 2019 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Oct 1, 2002 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Jul 12, 2021 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.

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

Verify at the official NPI Registry.