Alan C Desilva MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

3482 Issued in HI

Legal business name

ALAN C DESILVA MD INC

Practice address

1248 Kinoole St Ste 107
Hilo, HI 96720-4171

Phone

(808) 935-6888

Fax

(808) 961-0889

NPI assigned

Jun 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Alan C Desilva, MDNPI 1790885994

Title

Physician

Phone

(808) 935-6888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

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

• Alan C Desilva, MD INC.

  • Internal Medicine Physician
  • Hilo, HI
  • NPI 1790885994

  HI

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1720247828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 KINOOLE ST STE 107",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204171",
            "telephone_number": "808-935-6888",
            "fax_number": "808-961-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 KINOOLE ST STE 107",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204171",
            "telephone_number": "808-935-6888",
            "fax_number": "808-961-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN C DESILVA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-935-6888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "3482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040479-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kuikawanapua Akiona, RN
• Janelle Akuna, PH.D
• Charmaine Ann Alameda, LSW
• Christian Kimo Alameda, PHD.
• Christine S Alameda, MA - CLINICAL PSYCH
• Alan E. Fujimoto DDS, Inc
• Albert A Albatrosov, M.D.
• Nicole Albright, LMT RYT
• Alexandra Leigh Alcisto, LCSW
• Leilani Kerr Aldrich, APRN

• All providers in Hilo, HI
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.