DR. LYDIA ROLITA M.D.
NPI 1588697494
Family Medicine - Geriatric Medicine in Mililani, HI

Active since July 07, 2006Opted out of Medicare · through Dec 9, 2027
95-390 KUAHELANI AVE, MILILANI, HI 96789(808) 627-3235 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lydia Rolita M.d. NPPES

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

DR. LYDIA ROLITA M.D. (NPI 1588697494) is an individual geriatric medicine provider in Mililani, Hawaii, licensed in Hawaii (MD19421) and active in the NPI registry since July 2006. She has opted out of Medicare through December 9, 2027 and remains eligible to order and refer and is a graduate of Loma Linda University School Of Medicine (2002).

NPPES Registry Identity

NPI1588697494
Entity TypeIndividualFemale
Primary Taxonomy207QG0300X
Provider Legal NameDR. LYDIA ROLITACredential: M.D.
Location Address95-390 KUAHELANI AVEMililani, HI 96789-1192
Mailing Address2943 Kalakaua Ave Apt 807Honolulu, HI 96815-4609 · (347) 541-5746
Sole ProprietorYes
Medical School CMSLoma Linda University School Of MedicineGraduated 2002
Enumeration DateJuly 7, 2006
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1588697494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Licenses Licensed in HI · MD19421 Licensed in NY · 230195
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
95-390 KUAHELANI AVE, Mililani, HI 96789

Other Names 1

Former Name (1)Mrs. Lydia Rolita Metelsky

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Lydia Rolita M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 9, 2025 through December 9, 2027.

Opt-Out Effective DateDecember 9, 2025
Opt-Out In Effect ThroughDecember 9, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96789 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Dentist
95-390 KUAHELANI AVE, STE 4B
MILILANI, HI 96789
Marriage & Family Therapist
95-390 KUAHELANI AVE, SUITE 3AC - UNIT #5019
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE, PHYSICIAN CENTER MILILANI
MILILANI, HI 96789
Occupational Therapist (Hand)
95-390 KUAHELANI AVE, 1C
MILILANI, HI 96789
Optometrist
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789
Optometrist
95-390 KUAHELANI AVE
MILILANI, HI 96789
Family Medicine
95-390 KUAHELANI AVE
MILILANI, HI 96789

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 Lydia Rolita's NPI number?

The NPI number for Lydia Rolita is 1588697494. It was assigned to this individual provider in the NPPES registry on July 7, 2006. The provider is also known as Mrs. Lydia Rolita Metelsky.

Where is Lydia Rolita located?

Lydia Rolita practices at 95-390 Kuahelani Ave, Mililani, HI 96789. The listed phone number is (808) 627-3235.

What is Lydia Rolita's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Lydia Rolita enrolled in Medicare?

No. Lydia Rolita has opted out of Medicare through December 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Lydia Rolita accept?

Health plans from HMSA list Lydia Rolita 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 Lydia Rolita was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.