Individual provider Active NPI

Azriel Dror

  • Pediatrics Physician
  • Kamuela, HI
National Provider Identifier
1992209977
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD-21812 Issued in HI
Practice address
64-1032 Hawaii Belt Rd
Suite 204
Kamuela, HI 96743
Phone
(808) 887-6543
NPI assigned
Mar 22, 2018
Last updated
Aug 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD-21812 HI Primary

Addresses

Primary practice location

64-1032 Hawaii Belt Rd
Suite 204
Kamuela, HI 96743

Mailing address

64-635 Puu Noho St
Kamuela, HI 96743-8109
Phone (623) 217-0240

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616002180 HI Practitioner - Pediatric Medicine 3971850330 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-21812HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Paniolo Pediatric and Family Medicine Inc Pediatrics CurrentSince Jul 1, 2021 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jul 30, 2021 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jul 30, 2021 Accepting new patients
Queens University Medical Group CurrentSince Dec 12, 2022 Accepting new patients
Queens North Hawaii Community Hospital Past Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

405 N Kuakini St
Ste 601
Honolulu, HI 96817
Phone (808) 526-0303

75-170 Hualalai Rd
Ste D214
Kailua Kona, HI 96740
Phone (808) 325-5805

64-1032 Mamalahoa Hwy
Ste 204
Kamuela, HI 96743
Phone (808) 887-6543

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Interoperability endpoints

  • Direct secure messaging: adror37178@direct.seattlechildrens.org

Organizations & group practices 5

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": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1992209977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-635 PUU NOHO ST",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438109",
            "telephone_number": "623-217-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-1032 HAWAII BELT RD",
            "address_2": "SUITE 204",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "96743",
            "telephone_number": "808-887-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROR",
        "first_name": "AZRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-22",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-21812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.