GABRIELA MARIA ORTIZ-OMPHROY MD
NPI 1093879884
Specialist in Aiea, HI

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
98-1247 KAAHUMANU ST STE 118A, AIEA, HI 96701(808) 488-4342(808) 488-4151 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gabriela Maria Ortiz-omphroy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GABRIELA MARIA ORTIZ-OMPHROY MD (NPI 1093879884) is an individual specialist in Aiea, Hawaii, licensed in Hawaii (MD 12351) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of University Of Southern California Keck School Of Medicine (1996).

NPPES Registry Identity

NPI1093879884
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameGABRIELA MARIA ORTIZ-OMPHROYCredential: MD
Location Address98-1247 KAAHUMANU ST STE 118AAiea, HI 96701-5310
Mailing AddressPo Box 31000Honolulu, HI 96849-5550 · (808) 488-4342 · Fax (808) 488-4151
Fax(808) 488-4151
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1996
Enumeration DateDecember 19, 2006
Last NPPES UpdateMay 9, 2017
NPI 1093879884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in HI · MD 12351
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
98-1247 KAAHUMANU ST STE 118A, Aiea, HI 96701

Other Identifiers 3

Medicaid5392731-3HI
Medicare UPINH89747HI
Medicare PINH55672HI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Gabriela Maria Ortiz-omphroy Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002708153
PECOS Enrollment IDI20100924000147
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
350 services124 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
164 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
101 services101 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
80 services75 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
33 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120026
Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County
Emergency services
OwnershipVoluntary non-profit - Private
CMS Certification Number123300
Location1319 Punahou StreetHonolulu, HI 96826 · Honolulu County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%87 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
98-1247 KAAHUMANU ST STE 118A
AIEA, HI 96701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gabriela Ortiz-omphroy's NPI number?

The NPI number for Gabriela Ortiz-omphroy is 1093879884. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Gabriela Ortiz-omphroy located?

Gabriela Ortiz-omphroy practices at 98-1247 Kaahumanu St Ste 118A, Aiea, HI 96701. The listed phone number is (808) 488-4342.

What is Gabriela Ortiz-omphroy's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Gabriela Ortiz-omphroy enrolled in Medicare?

Yes. Gabriela Ortiz-omphroy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Gabriela Ortiz-omphroy accept?

Health plans from HMSA list Gabriela Ortiz-omphroy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gabriela Ortiz-omphroy affiliated with any hospitals?

According to CMS data, Gabriela Ortiz-omphroy is affiliated with The Queens Medical Center, Pali Momi Medical Center and Kapiolani Medical Center For Women & Children.

When was this NPI record last updated?

The NPPES record for Gabriela Ortiz-omphroy was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.