Individual provider Active NPI

Alan C Desilva, MD INC.

  • Internal Medicine Physician
  • Hilo, HI
National Provider Identifier
1790885994
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3482 Issued in HI
Practice address
1248 Kinoole Street
Suite 107
Hilo, HI 96720-4171
Phone
(808) 935-6888
Fax
(808) 961-0889
NPI assigned
Sep 25, 2006
Last updated
Mar 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3482 HI Primary

Addresses

Primary practice location

1248 Kinoole Street
Suite 107
Hilo, HI 96720-4171

Mailing address

1248 Kinoole Street
Suite 107
Hilo, HI 96720-4171
Phone (808) 935-6888

Other identifiers 12

IdentifierTypeStateIssuer
117987OtherHISTATE OF HAWAII DEPT OF E
0000044552OtherHIHAWAII MEDICAL SERVICE AS
0000044552OtherHIHMSA FED EMPLOYEES PLAN N
0000044552OtherHIBLUE CARD HAWAII
G0038OtherBANKERS LIFE & CASUALTY
04047901OtherHIALOHA CARE
04047901MedicaidHI
201361400OtherUS DEPT OF LABOR WORKERS
19199801OtherHIHAWAII MEDICAL ASSOCIATIO
99022440801OtherHICOUNTY OF HAWAII WORKERS
0000044552OtherHIHMSA QUEST NO
C98746OtherKAISER PERMANENTE SENIOR

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001369 HI Practitioner - Internal Medicine 8224063409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1248 Kinoole St
Suite 107
Hilo, HI 96720-4171
Phone 80893568881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3482HIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: alan.desilva@71132258107396.direct.elationemr.com
  • Direct secure messaging: alan.desilva@hawaiihie.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1790885994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 KINOOLE STREET",
            "address_2": "SUITE 107",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204171",
            "telephone_number": "808-935-6888",
            "fax_number": "808-961-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 KINOOLE STREET",
            "address_2": "SUITE 107",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204171",
            "telephone_number": "808-935-6888",
            "fax_number": "808-961-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESILVA",
        "first_name": "ALAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD INC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "3482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF HAWAII DEPT OF E",
            "identifier": "117987",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE AS",
            "identifier": "0000044552",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA FED EMPLOYEES PLAN N",
            "identifier": "0000044552",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARD HAWAII",
            "identifier": "0000044552",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BANKERS LIFE & CASUALTY",
            "identifier": "G0038",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "04047901",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04047901",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR WORKERS",
            "identifier": "201361400",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL ASSOCIATIO",
            "identifier": "19199801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY OF HAWAII WORKERS",
            "identifier": "99022440801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST NO",
            "identifier": "0000044552",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE SENIOR",
            "identifier": "C98746",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.