Sheareen Gedayloo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13705 Issued in HI

Practice address

1248 Kinoole St Ste 103
Hilo, HI 96720-4171

Phone

(808) 885-3627

Fax

(808) 696-3852

NPI assigned

May 19, 2006

Last updated

Nov 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hawaii Island Healthcare Inc

  • Family Medicine Physician
  • Hilo, HI
  • NPI 1730657826
  Medicare reassignment NPD
• Sheareen Gedayloo MD LLC

  • Primary Care Clinic/Center
  • Hilo, HI
  • NPI 1962853317
  Authorized official Same address or phone

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1801840525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1557",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967211557",
            "telephone_number": "808-935-1193",
            "fax_number": "808-969-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 KINOOLE ST STE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204171",
            "telephone_number": "808-885-3627",
            "fax_number": "808-696-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDAYLOO",
        "first_name": "SHEAREEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "13705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Gaskell
• Gastroenterology Associates, Inc
• Nicasio Paguio Gatdula, VICE PRESIDENT
• Keely Moani Gates
• Peter Gates
• Julianne Lenette Gensler, OTRL
• George Mackel, Pmhnp-BC, LLC (Ohana Care Clinic)
• Gerald Lau MD Inc
• Ciara Marie Germano, DMD
• Manas K Ghosh, MD

• Family Medicine Physician in Hilo, HI
• Providers in Hilo, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.