Active NPI
Mark J Ferri, DO
- Family Medicine Physician
- Kailua, HI
National Provider Identifier
1811088065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 965
- Practice address
- 122 Oneawa St
101
Kailua, HI 96734-2524 - Phone
- (808) 263-4263
- Fax
- (808) 263-4263
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 965 | HI | Primary |
Addresses
Primary practice location
122 Oneawa St
101
Kailua, HI 96734-2524
Mailing address
122 Oneawa St
101
Kailua, HI 96734-2524
Phone (808) 263-4263
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000238238 | Other | HI | BLUE CROSS BLUE SHEILD |
| 841604196 | Other | HI | SUMMERLIN |
| 841604196 | Other | AARP | |
| HMAA | Other | HI | 841604196 |
| 841604196 | Other | HI | UNIVERSITY HEALTH ALLIANCE |
| 841604196 | Other | HI | KAISER |
| 841604196 | Other | HI | TRIWEST |
| 841604196 | Other | HI | HMAA |
| 841604196 | Other | HI | HMA, INC |
| 0187272 | Other | HI | DEPT OF LABOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Feb 11, 2024 through Feb 11, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 965 | HI | MD | Internal Medicine Physician |
Interoperability endpoints
- mark.ferri.1@32039.direct.athenahealth.com
- mark.ferri@45970684706820.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1811088065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 ONEAWA ST",
"address_2": "101",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342524",
"telephone_number": "808-263-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 ONEAWA ST",
"address_2": "101",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342524",
"telephone_number": "808-263-4263",
"fax_number": "808-263-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRI",
"first_name": "MARK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "965",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "0000238238",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMERLIN",
"identifier": "841604196",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "841604196",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "841604196",
"identifier": "HMAA",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH ALLIANCE",
"identifier": "841604196",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "841604196",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRIWEST",
"identifier": "841604196",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMAA",
"identifier": "841604196",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMA, INC",
"identifier": "841604196",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "0187272",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.