Active NPI
Albert A Albatrosov, M.D.
- Psychiatry Physician
- Hilo, HI
National Provider Identifier
1982640355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5696
- 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, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| ME41127 | FL | MD | Sports Medicine (Neuromusculoskeletal Medicine) Physician |
| 5696 | HI | MD | Clinical Pharmacology Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Honolulu, HI
- NPI 1770603425
-
- Clinic/Center
- Daytona Beach, FL
- NPI 1801093851
-
dba A1A Health and Wellness Clinic
- Clinic/Center
- West Palm Beach, FL
- NPI 1841232253
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.