DR. JOHNNY L. NOBLEZADA OD
NPI 1316900715
Optometrist in Honolulu, HI
About Dr. Johnny L. Noblezada Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHNNY L. NOBLEZADA OD (NPI 1316900715) is an individual optometrist in Honolulu, Hawaii, licensed in New York (TUV006877) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Johnny L. Noblezada Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Johnny Noblezada reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gaithersburg, MD 20879
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Johnny Noblezada's NPI number?
The NPI number for Johnny Noblezada is 1316900715. It was assigned to this individual provider in the NPPES registry on April 8, 2006.
Where is Johnny Noblezada located?
Johnny Noblezada practices at 1010 Pensacola St, Honolulu, HI 96814. The listed phone number is (808) 432-2000.
What is Johnny Noblezada's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Johnny Noblezada enrolled in Medicare?
Yes. Johnny Noblezada is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Johnny Noblezada's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Johnny Noblezada reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Gaithersburg, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Johnny Noblezada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Johnny Noblezada accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Johnny Noblezada 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.
When was this NPI record last updated?
The NPPES record for Johnny Noblezada was last updated on June 2, 2021. 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.
# Dr. Johnny L. Noblezada, OD · NPI 1316900715
Optometrist provider in Honolulu, Hawaii. Individual provider, active in the CMS NPPES registry since April 8, 2006.
## Identity
- **NPI:** 1316900715 (Entity type: Individual)
- **Enumerated:** April 8, 2006
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** TUV006877 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1010 PENSACOLA ST, Honolulu, HI 96814-2118
- **Phone:** (808) 432-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1831471713, Gaithersburg, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 2, 2021
- **Other identifiers:** Other 0000276584 (HI); Medicaid 618275-02 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1316900715) · Data from the CMS NPPES public registry.