Individual provider Active NPI

Grace D Pascual, D.P.M.

  • Foot Surgery Podiatrist
  • Honolulu, HI
National Provider Identifier
1942315544
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO-133 Issued in HI
Practice address
1329 Lusitana St Ste 801
Honolulu, HI 96813-2434
Phone
(808) 536-4335
Fax
(808) 537-9195
NPI assigned
Aug 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X PO-133 HI Primary

Addresses

Primary practice location

1329 Lusitana St Ste 801
Honolulu, HI 96813-2434

Mailing address

1329 Lusitana St Ste 801
Honolulu, HI 96813-2434
Phone (808) 536-4335

Other identifiers 1

IdentifierTypeStateIssuer
08725102MedicaidHI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929001347 HI Practitioner - Podiatry 2062302193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1329 Lusitana St
Suite 801
Honolulu, HI 96813-2434
Phone (808) 536-4335

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue42
Removal of nail tissue18
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-133HIMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Foot Center of Hawaii, Inc. Foot Surgery CurrentSince Jan 1, 1998 Accepting new patients

Locations

1329 Lusitana St
Ste 801
Honolulu, HI 96813
Phone (808) 528-1111

707 Richards St
Ste 525
Honolulu, HI 96813

Interoperability endpoints

  • Direct secure messaging: grace.pascual@29431102242820.direct.elationemr.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1942315544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 801",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132434",
            "telephone_number": "808-536-4335",
            "fax_number": "808-537-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 801",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132434",
            "telephone_number": "808-536-4335",
            "fax_number": "808-537-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCUAL",
        "first_name": "GRACE",
        "middle_name": "D",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "HI",
            "license": "PO-133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08725102",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.