Individual provider Active NPI

Jared Wade Hornberger, D.O.

  • Cardiovascular Disease Physician
  • Tripler Army Medical Center, HI
National Provider Identifier
1851785422
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0102204808 Issued in VA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NY2 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
I20220801000317 HI Practitioner - Cardiovascular Disease (Cardiology) 9830462449 Reassigns benefits to 3 organizations
I20230328001314 NY Practitioner - Cardiovascular Disease (Cardiology) 9830462449 Reassigns benefits to 2 organizations

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
Carthage Area Hospital IncGroup PAC ID 9931010485, 119 clinicians
Castle Medical CenterGroup PAC ID 6608762778, 77 clinicians

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

LicenseStateTypeSpecialty
0102204808VAMDCardiovascular Disease Physician
321489NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Carthage Area Hospital Inc CurrentSince Apr 6, 2025 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Castle Medical Center CurrentSince Apr 1, 2026 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jul 22, 2022 Accepting new patients
Carthage Area Hospital Inc CurrentSince Apr 6, 2025 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Jul 22, 2022 Accepting new patients
Castle Medical Center CurrentSince Apr 1, 2026 Accepting new patients
Ryan M Smith, DO Inc Cardiovascular Disease CurrentSince Mar 3, 2025 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Feb 17, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.