Individual provider Active NPI

Misako McLeod, DPM

  • Foot & Ankle Surgery Podiatrist
  • Hilo, HI
National Provider Identifier
1982891297
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO-215 Issued in HI
Practice address
67 Waianuenue Avenue
Hilo, HI 96720
Phone
(808) 961-3668
NPI assigned
Oct 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E4736 CA
Foot & Ankle Surgery Podiatrist 213ES0103X 1107 NV
Foot & Ankle Surgery Podiatrist 213ES0103X PO-215 HI Primary

Addresses

Primary practice location

67 Waianuenue Avenue
Hilo, HI 96720

Mailing address

67-1249 Koaliula PL
Kamuela, HI 96743-8463
Phone (415) 302-0239

Other identifiers 1

IdentifierTypeStateIssuer
H108090OtherHIMEDICARE PTAN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160504002592 HI Practitioner - Podiatry 5991865537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1107NVMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of Hawaii LLC Foot & Ankle Surgery CurrentSince Nov 15, 2024 Accepting new patients
Misako McLeod PLLC Past Accepting new patients

Locations

276 Waianuenue Ave
Hilo, HI 96720
Phone (808) 731-5544

Interoperability endpoints

  • Direct secure messaging: drmcleod@hfaassl-hi.direct.office.nextgen.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1982891297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-1249 KOALIULA PL",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438463",
            "telephone_number": "415-302-0239",
            "fax_number": "844-412-6553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 WAIANUENUE AVENUE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-961-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLEOD",
        "first_name": "MISAKO",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4736",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "1107",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "HI",
            "license": "PO-215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "H108090",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.