Active NPI
Maria Wilson, M.D.
- Internal Medicine Physician
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-12951
- Practice address
- 640 Ulukahiki St
Suite 103
Kailua, HI 96734-4454 - Phone
- (808) 263-5174
- Fax
- (808) 266-3614
- NPI assigned
- Apr 2, 2012
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-12951 | HI | Primary |
Addresses
Primary practice location
640 Ulukahiki St
Suite 103
Kailua, HI 96734-4454
Mailing address
640 Ulukahiki St
Suite 103
Kailua, HI 96734-4454
Phone (808) 263-5174
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of Ny Upstate Medical University, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
30 Aulike St
Suite 300
Kailua, HI 96734-2751
Phone (808) 263-5015
Hospital & facility affiliations
- Adventist Health Home Care Services
- Adventist Health Castle
- Straub Clinic and Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-12951 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castle Medical Center | Current | Accepting new patients | |
| Castle Physician Network | Current | Accepting new patients | |
| Castle Medical Center | Internal Medicine | Current | Accepting new patients |
| Castle Medical Center | Current | Accepting new patients | |
| Castle Physician Network | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
321 N Kuakini St
Ste 201
Honolulu, HI 96817
Phone (808) 523-8611
30 Aulike St
Ste 501
Kailua, HI 96734
Phone (808) 263-5011
30 Aulike St
Ste 300
Kailua, HI 96734
Phone (808) 263-5015
640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326
660 Kailua Rd
Kailua, HI 96734
Phone (808) 263-2273
640 Ulukahiki St
Ste 103
Kailua, HI 96734
Phone (808) 263-5174
640 Ulukahiki St
#103
Kailua, HI 96734
30 Aulike St
Ste 303
Kailua, HI 96734
Phone (808) 261-1745
Organizations & group practices 6
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
- Kailua, HI
- NPI 1316937691
-
- Internal Medicine Physician
- Kailua, HI
- NPI 1043696206
-
- Community/Retail Pharmacy
- Kaneohe, HI
- NPI 1679540264
-
- Urgent Care Clinic/Center
- Kailua, HI
- NPI 1043974538
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
-
- Home Health Agency
- Kaneohe, HI
- NPI 1093147886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1720344906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 ULUKAHIKI ST",
"address_2": "SUITE 103",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344454",
"telephone_number": "808-263-5174",
"fax_number": "808-266-3614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 ULUKAHIKI ST",
"address_2": "SUITE 103",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344454",
"telephone_number": "808-263-5174",
"fax_number": "808-266-3614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD-12951",
"primary": true
}
],
"identifiers": [],
"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 Jul 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.