NPIMap

Individual provider Active NPI

Antonette Veronica Baxa Hernandez, MD

  • Nephrology Physician
  • Honolulu, HI
National Provider Identifier
1801384565
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-23490 Issued in HI
Practice address
2228 Liliha St Ste 200
Honolulu, HI 96817-1652
Phone
(808) 533-3130
Fax
(808) 533-3140
NPI assigned
Apr 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-23490 HI Primary

Addresses

Primary practice location

2228 Liliha St Ste 200
Honolulu, HI 96817-1652

Mailing address

2228 Liliha St Ste 200
Honolulu, HI 96817-1652
Phone (808) 533-3130

Other identifiers 1

IdentifierTypeStateIssuer
006410MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ahernandez54413@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230816001812 HI Practitioner - NephrologyPractitioner - Internal Medicine 2961864392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shiuh-Feng Cheng M D IncGroup PAC ID 1951304732, 5 clinicians

Practice addresses (Care Compare)

2228 Liliha St
Suite 200
Honolulu, HI 96817-1652
Phone (808) 533-3130

Hospital & facility affiliations

  • Liberty Dialysis Hawaii - Hawaii Salt Lake Dialysis facility, Honolulu, HI, CCN 122530
  • Liberty Dialysis Hawaii - Siemsen Dialysis Dialysis facility, Honolulu, HI, CCN 122518
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shiuh-Feng Cheng M D Inc Nephrology CurrentSince Sep 1, 2023 Accepting new patients

Locations

2228 Liliha St
Ste 200
Honolulu, HI 96817
Phone (808) 533-3130

Interoperability endpoints

  • Direct secure messaging: ahernandez54413@direct.acumenmd.com

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.

Hospital & facility affiliations 7

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": "1524787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1801384565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 LILIHA ST STE 200",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171652",
            "telephone_number": "808-533-3130",
            "fax_number": "808-533-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 LILIHA ST STE 200",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171652",
            "telephone_number": "808-533-3130",
            "fax_number": "808-533-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANTONETTE VERONICA",
        "middle_name": "BAXA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-27",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-23490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006410",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahernandez54413@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "2228 Liliha St Ste 200",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968171652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.