Active NPI
Charles Mark Pitts, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Aiea, HI
National Provider Identifier
1770698151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- MD7894
- Practice address
- 98-1079 Moanalua Rd
Laboratory
Aiea, HI 96701-4713 - Phone
- (808) 485-4517
- Fax
- (808) 485-4381
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD7894 | HI | Primary |
Addresses
Primary practice location
98-1079 Moanalua Rd
Laboratory
Aiea, HI 96701-4713
Mailing address
98-1079 Moanalua Rd
Laboratory
Aiea, HI 96701-4713
Phone (808) 485-4517
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD789401 | Other | HI | QUEENS |
| 4857501 | Medicaid | HI | |
| A55283 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD7894 | HI | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Laboratories of Hawaii LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Ewa Beach, HI
- NPI 1134195357
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770698151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-1079 MOANALUA RD",
"address_2": "LABORATORY",
"city": "AIEA",
"state": "HI",
"postal_code": "967014713",
"telephone_number": "808-485-4517",
"fax_number": "808-485-4381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1079 MOANALUA RD",
"address_2": "LABORATORY",
"city": "AIEA",
"state": "HI",
"postal_code": "967014713",
"telephone_number": "808-485-4517",
"fax_number": "808-485-4381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PITTS",
"first_name": "CHARLES",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "HI",
"license": "MD7894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUEENS",
"identifier": "MD789401",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4857501",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "A55283",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.