Active NPI
Christopher Andrew Fiack, M.D.
- Pulmonary Disease Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD14711
- Practice address
- 1329 Lusitana St Ste 107
Honolulu, HI 96813-2401 - Phone
- (808) 691-5252
- Fax
- (808) 691-5250
- NPI assigned
- Jul 22, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD14711 | HI | |
| Internal Medicine Physician | 207R00000X | MD14711 | HI | |
| Pulmonary Disease Physician | 207RP1001X | MD14711 | HI | Primary |
Addresses
Primary practice location
1329 Lusitana St Ste 107
Honolulu, HI 96813-2401
Mailing address
1329 Lusitana St Ste 107
Honolulu, HI 96813-2401
Phone (808) 691-5252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 617201 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- University of Vermont College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Punchbowl St
Honolulu, HI 96813-2499
1380 Lusitana St
Honolulu, HI 96813-2448
91 -2127 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 691-3000
Hospital & facility affiliations
- The Queens Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens North Hawaii Community Hospital | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| North Hawaii Community Hospital | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients |
Locations
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
1329 Lusitana St
Ste 107
Honolulu, HI 96813
Phone (808) 691-5201
550 S Beretania St
Ste 509
Honolulu, HI 96813
Phone (808) 523-5033
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
- christopher.fiack@hawaiihie.medicity.net
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- Orthopaedic Surgery Physician
- Kamuela, HI
- NPI 1528049814
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Acute Care Hospital
- Kamuela, HI
- NPI 1831380724
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1861637860
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- Urgent Care Clinic/Center
- Honolulu, HI
- NPI 1528691383
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1891716072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST STE 107",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132401",
"telephone_number": "808-691-5252",
"fax_number": "808-691-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST STE 107",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132401",
"telephone_number": "808-691-5252",
"fax_number": "808-691-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIACK",
"first_name": "CHRISTOPHER",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "HI",
"license": "MD14711",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD14711",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "HI",
"license": "MD14711",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "617201",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; 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.