Alex Juan Carlos Jr., MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD-23920-0 Issued in HI

Practice address

94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032

Phone

(808) 206-9849

Fax

(808) 206-9850

NPI assigned

Apr 30, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hawaii Nephrologists LLCGroup PAC ID 6709007420, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Liberty Dialysis Hawaii - Waipahu Dialysis Dialysis facility, Waipahu, HI, CCN 122522
• Liberty Waianae Coast Nanakuli Dialysis facility, Waianae, HI, CCN 122538
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: acarlos65284@direct.acumenmd.com

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.

• Hawaii Nephrologists LLC

  • Nephrology Physician
  • Waipahu, HI
  • NPI 1871909549
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Liberty Dialysis - Hawaii LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Waianae, HI
  • NPI 1124620869

  Dialysis facility

  Care Compare affiliation Name & address match
• Liberty Dialysis - Hawaii LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Waipahu, HI
  • NPI 1164684825

  Dialysis facility

  Care Compare affiliation Name & address match
• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1770147225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-184 Hualalai Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967401719",
            "country_code": "US",
            "telephone_number": "808-329-8251",
            "fax_number": "808-334-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLOS",
        "first_name": "ALEX",
        "middle_name": "JUAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-30",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-23920-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acarlos65284@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "94-229 Waipahu Depot St Ste 101",
            "city": "Waipahu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967973032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Cannova
• Cardiopulmonary Diagnostic Services Inc
• Caremax Hawaii, Inc.
• Caring Hearts Hospice Inc
• Alyssa Taylor Carino
• Jessica Carlson
• Carmelita D. Casil
• Michelle M. Carpio
• Ashlynn Carrero
• Kathleen Carroll

• Nephrology Physician in Waipahu, HI
• Providers in Waipahu, HI by specialty
• Nephrology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.

Verify at the official NPI Registry.