Individual provider Active NPI

Albert A Albatrosov, M.D.

  • Psychiatry Physician
  • Hilo, HI
National Provider Identifier
1982640355
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5696 Issued in HI
Practice address
21 Kalanianaole Ave
BLDG C
Hilo, HI 96720-4770
Phone
(808) 930-0777
Fax
(808) 930-0770
NPI assigned
Jun 22, 2006
Last updated
Jul 23, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X ME41127 FL
Psychiatry Physician 2084P0800X 5696 HI Primary
Addiction Psychiatry Physician 2084P0802X 5696 HI
Clinical Pharmacology Physician 208U00000X 5696 HI

Addresses

Primary practice location

21 Kalanianaole Ave
BLDG C
Hilo, HI 96720-4770

Mailing address

21 Kalanianaole Ave
BLDG C
Hilo, HI 96720-4770
Phone (808) 930-0777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME41127FLMDSports Medicine (Neuromusculoskeletal Medicine) Physician
5696HIMDClinical Pharmacology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care Hawaii, Inc. Past Accepting new patients
Dr John P Christensen P a Past Accepting new patients
Dr. John P Christensen P a Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1982640355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 KALANIANAOLE AVE",
            "address_2": "BLDG C",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204770",
            "telephone_number": "808-930-0777",
            "fax_number": "808-930-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 KALANIANAOLE AVE",
            "address_2": "BLDG C",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204770",
            "telephone_number": "808-930-0777",
            "fax_number": "808-930-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBATROSOV",
        "first_name": "ALBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME41127",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "5696",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "HI",
            "license": "5696",
            "primary": false
        },
        {
            "code": "208U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Pharmacology",
            "state": "HI",
            "license": "5696",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.