Individual provider Active NPI

Zachary Thielen

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Wailuku, HI
National Provider Identifier
1801162797
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
19536 Issued in HI
Practice address
1830 Wells St Ste 103
Wailuku, HI 96793-2365
Phone
(808) 649-1487
Fax
(808) 437-2512
NPI assigned
Mar 26, 2012
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 19536 HI Primary

Addresses

Primary practice location

1830 Wells St Ste 103
Wailuku, HI 96793-2365

Mailing address

1830 Wells St Ste 103
Wailuku, HI 96793-2365
Phone (808) 649-1487

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
I20181109002378 HI Practitioner - Orthopedic Surgery 6901198993 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Hawaii John a. Burns School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maui Orthopedic Institute LLCGroup PAC ID 2466861596, 2 clinicians

Practice addresses (Care Compare)

1830 Wells St
Suite 103
Wailuku, HI 96793-2365
Phone (808) 649-1487

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
64.18 of 100Reported as individual
Quality
15
Improvement activities
40
Cost
93.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement49
Knee replacement47
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19536HIMDAdult Reconstructive Orthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Permanente Medical Group Inc CurrentSince Sep 4, 2018 Accepting new patients
Maui Orthopedic Institute LLC Orthopaedic Surgery CurrentSince Nov 13, 2020 Accepting new patients

Locations

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

1830 Wells St
Ste 103
Wailuku, HI 96793
Phone (808) 649-1487

80 Mahalani St
Wailuku, HI 96793
Phone (808) 243-6000

Organizations & group practices 2

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 2

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": "1332720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1801162797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 WELLS ST STE 103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932365",
            "telephone_number": "808-649-1487",
            "fax_number": "808-437-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WELLS ST STE 103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932365",
            "telephone_number": "808-649-1487",
            "fax_number": "808-437-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIELEN",
        "first_name": "ZACHARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-26",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "HI",
            "license": "19536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.