Active NPI
Nicasio Paguio Gatdula, VICE PRESIDENT
- Home Health Aide
- Hilo, HI
National Provider Identifier
1881361533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 64 Keawe St Ste 306
Hilo, HI 96720-2486 - Phone
- (808) 215-7820
- Fax
- (808) 215-7819
- NPI assigned
- Aug 30, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | |||
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
64 Keawe St Ste 306
Hilo, HI 96720-2486
Mailing address
PO Box 10119
Hilo, HI 96721-5119
Phone (808) 215-7820
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | HILO | Health Information Exchange (HIE) | |
| CONNECT URL | HILO | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marianas Pacific Inc. | Current | Accepting new patients | |
| Marianas Pacific Inc. | Current | Accepting new patients |
Locations
64 Keawe St
Ste 306
Hilo, HI 96720
Phone (808) 215-7820
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- In Home Supportive Care Agency
- Honolulu, HI
- NPI 1659049864
-
- In Home Supportive Care Agency
- Hilo, HI
- NPI 1770359937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630281600000",
"number": "1881361533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10119",
"city": "HILO",
"state": "HI",
"postal_code": "967215119",
"telephone_number": "808-215-7820",
"fax_number": "808-215-7819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 KEAWE ST STE 306",
"city": "HILO",
"state": "HI",
"postal_code": "967202486",
"telephone_number": "808-215-7820",
"fax_number": "808-215-7819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATDULA",
"first_name": "NICASIO",
"middle_name": "PAGUIO",
"name_prefix": "Mr.",
"credential": "VICE PRESIDENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-30",
"last_updated": "2021-08-30",
"certification_date": "2021-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HILO",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 Keawe St Ste 306",
"city": "Hilo",
"state": "HI",
"country_code": "US",
"postal_code": "967202486",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "HILO",
"affiliation": "N",
"endpointDescription": "Office",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 Keawe St Ste 306",
"city": "Hilo",
"state": "HI",
"country_code": "US",
"postal_code": "967202486",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.