NPIMap

Individual provider Active NPI

Mariya Opanova

  • Orthopaedic Surgery Physician
  • Aiea, HI
National Provider Identifier
1851710180
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
21079 Issued in HI
Practice address
98-1079 Moanalua Rd Ste 300
Aiea, HI 96701-4722
Phone
(808) 485-4120
NPI assigned
Apr 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MDR 6640 HI
Orthopaedic Surgery Physician 207X00000X 21079 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd Ste 300
Aiea, HI 96701-4722

Mailing address

888 S King St
Honolulu, HI 96813-3097

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
I20201008000702 HI Practitioner - Orthopedic Surgery 3971922162 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pali Momi Medical CenterGroup PAC ID 6406746916, 90 clinicians

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 486-6000

98 -1079 Moanalua Rd
Suite 680
Aiea, HI 96701-4725
Phone (808) 485-4250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.35 of 100Reported as group
Quality
67.49
Promoting interoperability
100
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement30
Knee replacement30
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21079HIMDOrthopaedic Surgery Physician
MDR 6640HIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Pali Momi Medical Center CurrentSince Oct 3, 2021 Accepting new patients
Pali Momi Medical Center CurrentSince Oct 3, 2021 Accepting new patients
Straub Clinic & Hospital CurrentSince Aug 17, 2020 Accepting new patients
Straub Clinic & Hospital CurrentSince Aug 17, 2020 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

98-1079 Moanalua Rd
Ste 300
Aiea, HI 96701
Phone (808) 484-2042

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

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.

Hospital & facility affiliations 4

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1851710180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 300",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014722",
            "telephone_number": "808-485-4120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPANOVA",
        "first_name": "MARIYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "HI",
            "license": "MDR 6640",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "21079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.