Active NPI
Beverly Viola
- Pediatrics Physician
- Pearl City, HI
National Provider Identifier
1790823581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8399
- Practice address
- 98-1238 Kaahumanu St
#200
Pearl City, HI 96782-3250 - Phone
- (808) 488-1990
- Fax
- (808) 486-8495
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8399 | HI | Primary |
Addresses
Primary practice location
98-1238 Kaahumanu St
#200
Pearl City, HI 96782-3250
Mailing address
98-1238 Kaahumanu St
#200
Pearl City, HI 96782-3250
Phone (808) 488-1990
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 075723-01 | Medicaid | HI |
Other names 1
- Beverly Pai
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8399 | HI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Physicians Group | 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.
-
- Primary Care Clinic/Center
- Pearl City, HI
- NPI 1003084427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790823581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-1238 KAAHUMANU ST",
"address_2": "#200",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967823250",
"telephone_number": "808-488-1990",
"fax_number": "808-486-8495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1238 KAAHUMANU ST",
"address_2": "#200",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967823250",
"telephone_number": "808-488-1990",
"fax_number": "808-486-8495"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIOLA",
"first_name": "BEVERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "8399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "075723-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BEVERLY",
"last_name": "PAI",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Pearl City, 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.