Individual provider Active NPI

Santad - Sira, M.D.

  • Obstetrics & Gynecology Physician
  • Kealakekua, HI
National Provider Identifier
1912073891
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02682 Issued in HI
Practice address
79-7266 Mamalahoa Hwy
Honalo Business Center#4
Kealakekua, HI 96750-7919
Phone
(808) 322-3434
Fax
(808) 322-4011
NPI assigned
Nov 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 02682 HI Primary
Obstetrics & Gynecology Physician 207V00000X A029663 CA
Obstetrics & Gynecology Physician 207V00000X 37681 OH

Addresses

Primary practice location

79-7266 Mamalahoa Hwy
Honalo Business Center#4
Kealakekua, HI 96750-7919

Mailing address

PO Box 50
Kealakekua, HI 96750-0050
Phone (808) 322-3434

Other identifiers 2

IdentifierTypeStateIssuer
03541902MedicaidHI
03541901OtherHIKAISER

Other names 1

  • Dr. Santad - Sirachainanta Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051205000747 HI Practitioner - Obstetrics/Gynecology 0345260360 Practice locations: Kealakekua, HI

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

79-7266 Mamalahoa Hwy
Suite 4
Kealakekua, HI 96750-7919
Phone (808) 322-3434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A029663CAMDObstetrics & Gynecology Physician
02682HIMDObstetrics & Gynecology Physician
37681OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S.Sira,M.D.,Facog,Inc Past Accepting new patients
Kona Hospital Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: santad.sira@hawaiihie.medicity.net

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912073891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967500050",
            "telephone_number": "808-322-3434",
            "fax_number": "808-322-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-7266 MAMALAHOA HWY",
            "address_2": "HONALO BUSINESS CENTER#4",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507919",
            "telephone_number": "808-322-3434",
            "fax_number": "808-322-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRA",
        "first_name": "SANTAD",
        "middle_name": "-",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "02682",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A029663",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "37681",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03541902",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "03541901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANTAD",
            "last_name": "SIRACHAINANTA",
            "middle_name": "-",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.