Individual provider Active NPI

Gary Byron Pitt, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Tripler Army Medical Center, HI
National Provider Identifier
1992805923
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO136 Issued in HI
Practice address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone
(808) 433-6661
Fax
(808) 433-1551
NPI assigned
Sep 22, 2006
Last updated
Mar 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO136 HI Primary

Addresses

Primary practice location

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-6661

Other practice location 1

BLDG 683 Waianae Ave
Scofield Barracks, HI 96786
Phone (808) 433-8500

Other practice location 2

59-219 Alapio Rd
Haleiwa, HI 96712-9604
Phone (808) 398-7940

Other identifiers 2

IdentifierTypeStateIssuer
08802101MedicaidHI
021483-3OtherHIHMSA

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
I20050117000224 HI Practitioner - Podiatry 4385535764 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Wahiawa Center for Community HealthGroup PAC ID 6608154182, 16 clinicians

Practice addresses (Care Compare)

130 California Ave
Suite 106
Wahiawa, HI 96786-1554
Phone (808) 622-1618

59 -219 Alapio Rd
Haleiwa, HI 96712-9604
Phone (808) 638-7589

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO136HIMDFoot & Ankle Surgery Podiatrist
136HIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gary B. Pitt DPM Inc Foot & Ankle Surgery CurrentSince Jan 1, 2002 Accepting new patients
NA Pu Uwai CurrentSince Jul 15, 2018 Accepting new patients
The Wahiawa Center for Community Health CurrentSince Nov 1, 2017 Accepting new patients
NA Pu'Uwai PastSince Jul 15, 2018 Accepting new patients
Ko Olauloa Health Center Past Accepting new patients

Locations

730 Lanai Ave
Ste 120122
Lanai City, HI 96763
Phone (808) 565-7204

128 Lehua St
Wahiawa, HI 96786
Phone (808) 621-4330

130 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

302 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

Interoperability endpoints

  • Direct secure messaging: gary.pitt.1@15549.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/21516/brand/1/csg/1/fhir/r4

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1992805923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6661",
            "fax_number": "808-433-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6661",
            "fax_number": "808-433-1551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "BLDG 683 Waianae Ave",
            "address_purpose": "LOCATION",
            "city": "Scofield Barracks",
            "state": "HI",
            "postal_code": "96786",
            "country_code": "US",
            "telephone_number": "808-433-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59-219 Alapio Rd",
            "address_purpose": "LOCATION",
            "city": "Haleiwa",
            "state": "HI",
            "postal_code": "967129604",
            "country_code": "US",
            "telephone_number": "808-398-7940",
            "fax_number": "888-677-1445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITT",
        "first_name": "GARY",
        "middle_name": "BYRON",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "HI",
            "license": "PO136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08802101",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "021483-3",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tripler Army Medical Center, HI

Sources for this page

Verify at the official NPI Registry.