Nicole M. Apoliona, M.D.
Individual provider Active NPI Family Medicine Physician · Kula, HI
NPI 1912904681 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912904681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD 9890 (HI)
- Practice address
- 100 Keokea PL
Kula, HI 96790-7450 - Phone
- (808) 876-4331
- Fax
- (808) 878-4332
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050923000156 | HI | Practitioner - Family Practice | 1951335496 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 9890 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current |
Accepting new patients |
Locations
100 Keokea Pl
Kula, HI 96790
Phone (808) 875-6690
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 9890 | HI | Yes |
Addresses
Primary practice location
100 Keokea PL
Kula, HI 96790-7450
Mailing address
PO Box 4124
Kahului, HI 96733-4124
Phone (808) 876-0310
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08722903 | Medicaid | HI |
Other providers in Kula, HI
- Christina Nikas Alford
- Aloha Occupational Therapy Services LLC
- Aloha Peace Therapy
- Peter John Angleton
- Jose Antonio Antonmattei
- Marsha Arak
- Derrick Alika Asing
- Riane Azeka
- Alvin James Barone Jr.
- Maryann Barros
All providers in Kula, HI · Family Medicine Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.