Active NPI
Vijaya V. Vellanki, M.D.
- Psychiatry Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD-12326
- Practice address
- 1100 Ward Ave
Suite 840
Honolulu, HI 96814-1600 - Phone
- (808) 522-4521
- Fax
- (808) 522-3526
- NPI assigned
- Oct 10, 2006
- Last updated
- Sep 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD-12326 | HI | Primary |
Addresses
Primary practice location
1100 Ward Ave
Suite 840
Honolulu, HI 96814-1600
Mailing address
1100 Ward Ave
Suite 840
Honolulu, HI 96814-1600
Phone (808) 522-4521
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 564080 01 | Medicaid | HI | |
| 569562 | Other | HI | UHA - KAHI MOHALA |
| 990298651-96706-G006 | Other | HI | TRICARE - KAHI MOHALA |
| MD12326-01 | Other | HI | MDX HAWAII - STRAUB |
| 00A0251643 | Other | HI | HMSA - STRAUB |
| 56408002 | Other | HI | ALOHA CARE - STRAUB |
| 5695444 | Other | HI | UHA - STRAUB |
| 0000251645 | Other | HI | HMSA - KAHI MOHALA |
| 564080 02 | Medicaid | HI | |
| 56408001 | Other | HI | ALOHA CARE - KAHI MOHALA |
| MD12326 | Other | HI | MDX HAWAII - KAHI MOHALA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 Ward Ave
Suite 840
Honolulu, HI 96814-1610
Phone (808) 522-4521
888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 67.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients |
Locations
1100 Ward Ave
Ste 840
Honolulu, HI 96814
Phone (808) 522-4000
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Straub Benioff Medical Center
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
dba Hawaii Pacific Health Specialty Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Straub Benioff Medical Center
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1972691590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 WARD AVE",
"address_2": "SUITE 840",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141600",
"telephone_number": "808-522-4521",
"fax_number": "808-522-3526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 WARD AVE",
"address_2": "SUITE 840",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141600",
"telephone_number": "808-522-4521",
"fax_number": "808-522-3526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELLANKI",
"first_name": "VIJAYA",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-12326",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "564080 01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA - KAHI MOHALA",
"identifier": "569562",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE - KAHI MOHALA",
"identifier": "990298651-96706-G006",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX HAWAII - STRAUB",
"identifier": "MD12326-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA - STRAUB",
"identifier": "00A0251643",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHA CARE - STRAUB",
"identifier": "56408002",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA - STRAUB",
"identifier": "5695444",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA - KAHI MOHALA",
"identifier": "0000251645",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "564080 02",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHA CARE - KAHI MOHALA",
"identifier": "56408001",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX HAWAII - KAHI MOHALA",
"identifier": "MD12326",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.