Individual provider Active NPI

Anita G Ishaq-Juarez, PA-C

  • Physician Assistant
  • Aiea, HI
National Provider Identifier
1982102604
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
99-128 Aiea Heights Dr Ste 703
Aiea, HI 96701-3978
Phone
(808) 487-7938
NPI assigned
Jan 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr Ste 703
Aiea, HI 96701-3978

Mailing address

91-1398 Halili St
Ewa Beach, HI 96706-6538
Phone (281) 409-8017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210218000296 TX Practitioner - Physician Assistant 2668725805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Skin Care Specialists, PLLCGroup PAC ID 0840576286, 6 clinicians

Practice addresses (Care Compare)

17510 W Grand Pkwy S
Suite 420
Sugar Land, TX 77479-2173
Phone (832) 308-3470

Merit-based Incentive Payment System (MIPS)

Final score
93.08 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

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": "1517184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541721600000",
    "number": "1982102604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1398 HALILI ST",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066538",
            "telephone_number": "281-409-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 703",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013978",
            "telephone_number": "808-487-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHAQ-JUAREZ",
        "first_name": "ANITA",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.