Individual provider Active NPI

Peter John Angleton, M.D.

  • Emergency Medicine Physician
  • Kula, HI
National Provider Identifier
1821042334
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-8734 Issued in HI
Practice address
100 Keokea PL
Kula, HI 96790-7450
Phone
(808) 878-1221
NPI assigned
May 20, 2006
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X M5573 ID
Emergency Medicine Physician 207P00000X MD-8734 HI Primary

Addresses

Primary practice location

100 Keokea PL
Kula, HI 96790-7450

Mailing address

100 Keokea PL
Kula, HI 96790-7450
Phone (808) 878-1221

Other identifiers 1

IdentifierTypeStateIssuer
004026000MedicaidID

Other names 1

  • Dr. Peter John Angleton Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20101209001236 ID Practitioner - Emergency Medicine 1951486935 Reassigns benefits to 1 organization
I20170804001313 HI Practitioner - Emergency Medicine 1951486935 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-8734HIMDEmergency Medicine Physician
M5573IDMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jul 1, 2017 Accepting new patients
Cep America, LLC Emergency Medicine CurrentSince Aug 1, 2016 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jul 1, 2017 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

100 Keokea Pl
Kula, HI 96790
Phone (808) 875-6690

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1821042334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KEOKEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907450",
            "telephone_number": "808-878-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KEOKEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907450",
            "telephone_number": "808-878-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGLETON",
        "first_name": "PETER",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "ID",
            "license": "M5573",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-8734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004026000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER",
            "last_name": "ANGLETON",
            "middle_name": "JOHN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kula, HI

Sources for this page

Verify at the official NPI Registry.