Individual provider Active NPI

Anthony Cadiente Hernandez, M.D.

  • Specialist
  • Honolulu, HI
National Provider Identifier
1962578476
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5996 Issued in HI
Practice address
1824 Dillingham Blvd
Honolulu, HI 96819-4019
Phone
(808) 848-1515
Fax
(808) 847-2043
NPI assigned
Nov 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 5996 HI Primary

Addresses

Primary practice location

1824 Dillingham Blvd
Honolulu, HI 96819-4019

Mailing address

1824 Dillingham Blvd
Honolulu, HI 96819-4019
Phone (808) 848-1515

Other identifiers 2

IdentifierTypeStateIssuer
029644-01MedicaidHI
B3303-1OtherHIHMSA

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
I20050928000545 HI Practitioner - Internal Medicine 7113952276 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2055 N King St
Suite 200
Honolulu, HI 96819-3462
Phone (808) 848-1515

Hospital & facility affiliations

  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5996HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Anthony C Hernandez M D Inc Single Specialty CurrentSince Dec 19, 2006 Accepting new patients
Emma B Avilla, MD, Inc Single Specialty PastSince Jul 11, 2018 Accepting new patients

Locations

2055 N King St
Ste 200
Honolulu, HI 96819
Phone (808) 848-1515

1824 Dillingham Blvd
Honolulu, HI 96819
Phone (808) 848-1515

Interoperability endpoints

  • Direct secure messaging: anthony.hernandez@32076361105412.direct.elationemr.com

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.

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": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1962578476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 DILLINGHAM BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194019",
            "telephone_number": "808-848-1515",
            "fax_number": "808-847-2043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 DILLINGHAM BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194019",
            "telephone_number": "808-848-1515",
            "fax_number": "808-847-2043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANTHONY",
        "middle_name": "CADIENTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "5996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029644-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B3303-1",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.