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MS. PHYLAVANH PHANHTHARATH ACNS-BC
NPI 1265965321
Rehabilitation Hospital in Hilo, HI

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
1190 WAIANUENUE AVE, HILO, HI 96720(808) 932-3000 Get Directions Write a Review

NPPES record last updated: August 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Phylavanh Phanhtharath Acns-bc NPPES

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

MS. PHYLAVANH PHANHTHARATH ACNS-BC (NPI 1265965321) is an individual rehabilitation hospital provider in Hilo, Hawaii, licensed in Texas (AP133384) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Hilo Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1265965321
Entity TypeIndividualFemale
Primary Taxonomy283X00000X
Provider Legal NameMS. PHYLAVANH PHANHTHARATHCredential: ACNS-BC
Location Address1190 WAIANUENUE AVEHilo, HI 96720-2094
Mailing Address1190 Waianuenue AveHilo, HI 96720-2094 · (808) 932-3000
Phone(808) 932-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateApril 6, 2017
Last NPPES UpdateAugust 14, 2020
NPPES CertifiedAugust 14, 2020
✔ NPI 1265965321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRehabilitation HospitalHospitals
Taxonomy Code283X00000X
License✔ Licensed in TX · AP133384
Definition
A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
Also ListedClinical Nurse Specialist · Adult HealthTaxonomy 364SA2200X · License APRN-2756 (HI)
1190 WAIANUENUE AVE, Hilo, HI 96720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.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

Ms. Phylavanh Phanhtharath Acns-bc 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 ID9335579408
PECOS Enrollment IDI20200414001855
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.

Hospital Affiliations CMS Care Compare

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

Hilo Medical Center

Acute Care Hospitals · Hilo, HI
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120005
Location1190 Waianuenue AvenueHilo, HI 96720 · Hawaii County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

KYLE NUGENT
Student in an Organized Health Care Education/Training Program
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 932-3730
DR. JON V MARTELL MD
Internal Medicine
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 974-4700
MR. ARTHUR SAMPAGA JR. RN
Registered Nurse
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 933-0779
JOANNA ELEONORA HIGHSTEIN MD
Student in an Organized Health Care Education/Training Program
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 932-3730
MRS. JOY SAKAI WILSON MD
Internal Medicine
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 932-3395
DR. TIFFANY MA M.D., M.P.H
Internal Medicine
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (925) 487-0372
DR. ANDREW CHANG MD
Family Medicine
1190 WAIANUENUE AVE
HILO, HI 96720
Hawaii County (808) 932-4215
DR. STEVEN J GARON MD
Anesthesiology
1190 WAIANUENUE AVE, ATTN ANESTHESIA DEPT
HILO, HI 96720
Hawaii County (808) 974-4700

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 Phylavanh Phanhtharath's NPI number?

The NPI number for Phylavanh Phanhtharath is 1265965321. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Phylavanh Phanhtharath located?

Phylavanh Phanhtharath practices at 1190 Waianuenue Ave, Hilo, HI 96720. The listed phone number is (808) 932-3000.

What is Phylavanh Phanhtharath's specialty?

The primary specialty registered for this NPI is Rehabilitation Hospital with taxonomy code 283X00000X.

Is Phylavanh Phanhtharath enrolled in Medicare?

Yes. Phylavanh Phanhtharath 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 Phylavanh Phanhtharath accept?

Health plans from HMSA list Phylavanh Phanhtharath 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 Phylavanh Phanhtharath affiliated with any hospitals?

According to CMS data, Phylavanh Phanhtharath is affiliated with Hilo Medical Center.

When was this NPI record last updated?

The NPPES record for Phylavanh Phanhtharath was last updated on August 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.