Organization Active NPI

Noel I. Termulo MD, Inc.

  • Internal Medicine Physician
  • Wailuku, HI
National Provider Identifier
1780836122
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
#12272 Issued in HI
Legal business name
NOEL I. TERMULO MD, INC.
Practice address
1063 Lower Main Street
Suite C 106
Wailuku, HI 96793-2030
Phone
(808) 242-6478
Fax
(808) 242-6478
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Dr. Noel Icasas Termulo, M.D.NPI 1154342376
Title
President
Phone
(808) 242-6478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X #12272 HI Primary

Addresses

Primary practice location

1063 Lower Main Street
Suite C 106
Wailuku, HI 96793-2030

Mailing address

1063 Lower Main St Ste C106
Wailuku, HI 96793-6035
Phone (808) 242-6478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090810000137 HI Part B Supplier - Clinic/Group Practice 0446303564 Receives reassigned benefits from 1 practitioner
Practice locations: Wailuku, HI

National Provider Directory

National Provider Directory

Locations

1063 Lower Main St
Ste C106
Wailuku, HI 96793
Phone (808) 242-6478

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1780836122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1063 LOWER MAIN ST STE C106",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967936035",
            "telephone_number": "808-242-6478",
            "fax_number": "808-419-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1063 LOWER MAIN STREET",
            "address_2": "SUITE C 106",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932030",
            "telephone_number": "808-242-6478",
            "fax_number": "808-242-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOEL I. TERMULO MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "TERMULO",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "ICASAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-242-6478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "#12272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.