DR. PRIYA GYANI MD
NPI 1285954842
Pediatrics - Hospice and Palliative Medicine in Honolulu, HI
NPI Status: Active since June 07, 2010
Contact Information
1319 PUNAHOU STREET
PEDIATRIC PALLIATIVE CARE
HONOLULU, HI
ZIP 96826
Phone: (808) 983-6000
- Individual
- Female
- Years of Experience 17
- Pediatrics
- Hospice and Palliative Medicine
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About PRIYA GYANI
This page provides the complete NPI Profile along with additional information for Priya Gyani, a pediatrician established in Honolulu, Hawaii with a medical specialization in Pediatrics, focusing in hospice and palliative medicine and more than 17 years of experience. The healthcare provider is registered in the NPI registry with number 1285954842 assigned on June 2010. The practitioner's primary taxonomy code is 2080H0002X with license number MD-25599 (HI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1285954842
- Provider Name
- DR. PRIYA GYANI MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1319 PUNAHOU STREET PEDIATRIC PALLIATIVE CARE HONOLULU, HI 96826
- Location Phone
- (808) 983-6000
- Mailing Address
- 1319 PUNAHOU STREET PEDIATRIC PALLIATIVE CARE HONOLULU, HI 96826
- Mailing Phone
- (808) 983-6000
- Medical School Name
- OTHER
- Graduation Year
- 2009
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-07-2010
- Last Update Date
- 09-08-2025
- Code Navigator
A pediatrician like Priya Gyani is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Hospice and Palliative Medicine
- Taxonomy Code
- 2080H0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD-25599
- License State
- HI
- Taxonomy Description
- A pediatrician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMSA Bronze PPO I - PPO
- HMSA Bronze PPO II HSA - PPO
- HMSA Catastrophic Plan - PPO
- HMSA Gold PPO I - PPO
- HMSA Gold PPO II - PPO
- HMSA Platinum PPO - PPO
- HMSA Silver PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Priya Gyani is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Priya Gyani is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8224266812
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20230207000471
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1285954842, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 78 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
HONOLULU, HI 96826
HONOLULU, HI 96826
HONOLULU, HI 96826
HONOLULU, HI 96826
HONOLULU, HI 96826
HONOLULU, HI 96826
HONOLULU, HI 96826
HONOLULU, HI 96826
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285954842, enumerated as an "individual" on June 07, 2010.
The provider is located at 1319 PUNAHOU STREET PEDIATRIC PALLIATIVE CARE HONOLULU, HI 96826 and the phone number is (808) 983-6000.
Pediatrics with taxonomy code 2080H0002X and a focus in Hospice and Palliative Medicine.
The provider might be accepting Accepts: HMSA. Please consult your insurance carrier or call the provider to verify.