Active NPI
Jared Wade Hornberger, D.O.
- Cardiovascular Disease Physician
- Tripler Army Medical Center, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0102204808
- Practice address
- 1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001 - Phone
- (888) 683-2778
- NPI assigned
- Mar 23, 2015
- Last updated
- Sep 9, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0102204808 | VA | Primary |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Mailing address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000
214 King St
Suite a
Ogdensburg, NY 13669-1142
Phone (315) 393-3600
642 Ulukahiki St
Suite 103
Kailua, HI 96734-4418
Phone (808) 263-5241
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102204808 | VA | MD | Cardiovascular Disease Physician |
| 321489 | NY | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Castle Medical Center | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Castle Medical Center | Current | Accepting new patients | |
| Ryan M Smith, DO Inc | Cardiovascular Disease | Current | Accepting new patients |
| Claxton-Hepburn Medical Center | Current | Accepting new patients |
Locations
640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326
642 Ulukahiki St
Ste 103
Kailua, HI 96734
Phone (808) 263-5174
46-001 Kamehameha Hwy
Ste 212
Kaneohe, HI 96744
Phone (808) 263-5077
1849 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 242-2010
210 Imi Kala St
Ste 209
Wailuku, HI 96793
Phone (808) 242-9912
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
85 Maui Lani Pkwy
Wailuku, HI 96793
Phone (808) 442-5700
39 W Main St
Canton, NY 13617
Phone (315) 379-4700
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660
Interoperability endpoints
- jhornberger@cahclinics.medentdirect.com
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
dba Maui Memorial Medical Center
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
-
dba Hawaii Heart Associates
- Cardiovascular Disease Physician
- Kaneohe, HI
- NPI 1750901195
-
dba Practice Resources LLC
- Psychiatric Hospital
- Ogdensburg, NY
- NPI 1891753034
-
dba Adventist Health Castle
- Community/Retail Pharmacy
- Kaneohe, HI
- NPI 1679540264
-
dba Lanai Community Hospital
- Critical Access Hospital
- Lanai City, HI
- NPI 1336501634
-
- Specialist
- Wailuku, HI
- NPI 1669834016
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
dba Claxton-Hepburn Medical Campus
- Critical Access Hospital
- Ogdensburg, NY
- NPI 1669236261
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
dba Claxton-Hepburn Medical Campus
- Critical Access Hospital
- Ogdensburg, NY
- NPI 1669236261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1851785422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "888-683-2778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNBERGER",
"first_name": "JARED",
"middle_name": "WADE",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-23",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0102204808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tripler Army Medical Center, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.