Individual provider Active NPI

Agrifina C. Quiane, M.D.

  • Internal Medicine Physician
  • Waipahu, HI
National Provider Identifier
1952496283
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-12657 Issued in HI
Practice address
94-216 Farrington Hwy # B2-109
Waipahu, HI 96797-1922
Phone
(808) 678-3575
Fax
(808) 678-3574
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-12657 HI Primary

Addresses

Primary practice location

94-216 Farrington Hwy # B2-109
Waipahu, HI 96797-1922

Mailing address

94-216 Farrington Hwy Unit B2-109
Waipahu, HI 96797-1922
Phone (808) 678-3575

Other identifiers 2

IdentifierTypeStateIssuer
54860404MedicaidHI
548860404MedicaidHI

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
I20040129000950 HI Practitioner - Internal MedicinePractitioner - Preventive Medicine 2769384650 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-12657HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agrifina C Quiane MD Inc Internal Medicine CurrentSince Jun 1, 2004 Accepting new patients

Locations

2226 Liliha St
Ste 410
Honolulu, HI 96817
Phone (808) 523-9811

94-216 Farrington Hwy
Ste B2109
Waipahu, HI 96797
Phone (808) 678-3575

94-216 Farrington Hwy
Ste 310
Waipahu, HI 96797

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CADBAA/Endpoint/CADBAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1952496283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY UNIT B2-109",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-678-3575",
            "fax_number": "808-678-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-216 FARRINGTON HWY # B2-109",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967971922",
            "telephone_number": "808-678-3575",
            "fax_number": "808-678-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIANE",
        "first_name": "AGRIFINA",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-12657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54860404",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "548860404",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.