Ulziibat Shirendeb Person, MD
Individual provider Active NPI Psychiatry Physician · Hilo, HI
NPI 1831607969 · NPPES record last updated Jul 8, 2022
Key facts
- NPI
- 1831607969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD-22611 (HI)
- Practice address
- 1190 Waianuenue Ave
Hilo, HI 96720-2094 - Phone
- (808) 932-3000
- NPI assigned
- Jan 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Hilo Benioff Medical Center
Practice addresses (Care Compare)
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
Hospital & facility affiliations
- Hilo Benioff Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220629000182 | HI | Practitioner - Psychiatry | 4789921214 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens North Hawaii Community Hospital | Current |
Accepting new patients | |
| Queens University Medical Group | Current |
Accepting new patients | |
| Hilo Benioff Medical Center | Current |
Accepting new patients | |
| North Hawaii Community Hospital, Inc. | Current |
Accepting new patients | |
| Hilo Benioff Medical Center | Current |
Accepting new patients | |
| Hilo Benioff Medical Center | Past | Accepting new patients | |
| Queens North Hawaii Community Hospital | Past | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400
Interoperability endpoints
- uperson21164@hhsc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-22611 | HI | Yes |
Addresses
Primary practice location
1190 Waianuenue Ave
Hilo, HI 96720-2094
Mailing address
1190 Waianuenue Ave
Hilo, HI 96720-2094
Phone (808) 932-3000
Other practice location 1
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-3152
Other names
- Ulziibat Shirendeb Person
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.