Individual provider Active NPI

Danilo Nagtalon Ablan, MD

  • Pulmonary Disease Physician
  • Portsmouth, NH
National Provider Identifier
1972608032
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
LT3784 Issued in NH
Practice address
330 Borthwick Ave Ste 108
Portsmouth, NH 03801-7110
Phone
(603) 436-4614
Fax
(603) 436-0377
NPI assigned
Sep 13, 2006
Last updated
May 22, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 176953 NY
Internal Medicine Physician 207R00000X 6798 HI
Critical Care Medicine (Internal Medicine) Physician 207RC0200X LT3784 NH
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 176953 NY
Pulmonary Disease Physician 207RP1001X LT3784 NH Primary
Pulmonary Disease Physician 207RP1001X 176953 NY
Sports Medicine (Internal Medicine) Physician 207RS0010X 176953 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X LT3784 NH

Addresses

Primary practice location

330 Borthwick Ave Ste 108
Portsmouth, NH 03801-7110

Mailing address

330 Borthwick Ave Ste 108
Portsmouth, NH 03801-7110
Phone (603) 436-4614

Other identifiers 2

IdentifierTypeStateIssuer
056231MedicaidHI
3107437MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040714000117 HI Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 9638158728 Reassigns benefits to 3 organizations
I20170508002470 CA Practitioner - Critical Care (Intensivists)Practitioner - Internal MedicinePractitioner - Pulmonary Disease 9638158728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Queens Medical CenterGroup PAC ID 3476454067, 191 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2499

550 S Beretania St
Honolulu, HI 96813-2496

91 -2127 Fort Weaver Rd
Ewa Beach, HI 96706-1993

91 -2139 Fort Weaver Rd
Ewa Beach, HI 96706-3608

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
146478CAMDMarriage & Family Therapist
6798HIMDInternal Medicine Physician
176953NYMDInternal Medicine Physician
LT3784NHMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Oct 1, 2017 Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients
The Queen's Medical Center CurrentSince Oct 1, 2017 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Dec 3, 2025 Accepting new patients
Queens University Medical Group CurrentSince Dec 3, 2025 Accepting new patients
John J Cogan MD Inc Past Accepting new patients

Locations

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

91-2127 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 691-3000

91-2139 Fort Weaver Rd
Ste 303
Ewa Beach, HI 96706
Phone (808) 671-1558

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 678-7000

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

550 S Beretania St
Ste 601
Honolulu, HI 96813
Phone (808) 691-8877

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1972608032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 108",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017110",
            "telephone_number": "603-436-4614",
            "fax_number": "603-436-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 BORTHWICK AVE STE 108",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017110",
            "telephone_number": "603-436-4614",
            "fax_number": "603-436-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABLAN",
        "first_name": "DANILO",
        "middle_name": "NAGTALON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "176953",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "6798",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NH",
            "license": "LT3784",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "176953",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NH",
            "license": "LT3784",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "176953",
            "primary": false
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "176953",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NH",
            "license": "LT3784",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056231",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3107437",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.