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DERYLL U AMBROCIO MD INCORPORATED
NPI 1679707103
Internal Medicine - Rheumatology in Honolulu, HI

Active since May 12, 2009
1329 LUSITANA ST, SUITE 804, HONOLULU, HI 96813(808) 531-7111(808) 528-5507 Get Directions Write a Review

NPPES record last updated: August 27, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Deryll U Ambrocio Md Incorporated NPPES

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

DERYLL U AMBROCIO MD INCORPORATED (NPI 1679707103) is a healthcare organization registered as a rheumatology in Honolulu, Hawaii and active in the NPI registry since May 2009. The organization lists Deryll Ulep Ambrocio, President, as its authorized official.

NPPES Registry Identity

NPI1679707103
Entity TypeOrganization
Primary Taxonomy207RR0500X
Legal Business NameDERYLL U AMBROCIO MD INCORPORATED
Location Address1329 LUSITANA ST, SUITE 804Honolulu, HI 96813-2429
Mailing Address1329 Lusitana St, Suite 804Honolulu, HI 96813-2429 · (808) 531-7111 · Fax (808) 528-5507
Phone(808) 531-7111
Fax(808) 528-5507
Organization SubpartNo
Authorized OfficialDeryll Ulep AmbrocioPresident · (808) 531-7111
Enumeration DateMay 12, 2009
Last NPPES UpdateAugust 27, 2010
✔ NPI 1679707103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in HI · MD-15066
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1329 LUSITANA ST, Honolulu, HI 96813
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deryll U Ambrocio Md Incorporated is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Deryll U Ambrocio MD Incorporated, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deryll Ambrocio, MD
Rheumatology
NPI 1730301219
1329 LUSITANA ST SUITE 804
Honolulu, HI 96813
(808) 531-7111
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Deryll U Ambrocio MD Incorporated's NPI number?

The NPI number for Deryll U Ambrocio MD Incorporated is 1679707103. It was assigned to this organization in the NPPES registry on May 12, 2009.

Where is Deryll U Ambrocio MD Incorporated located?

Deryll U Ambrocio MD Incorporated is located at 1329 Lusitana St Suite 804, Honolulu, HI 96813. The listed phone number is (808) 531-7111.

What is Deryll U Ambrocio MD Incorporated's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Deryll U Ambrocio MD Incorporated enrolled in Medicare?

Yes. Deryll U Ambrocio MD Incorporated is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deryll U Ambrocio MD Incorporated?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Rheumatology) reassigns their Medicare billing to Deryll U Ambrocio MD Incorporated. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deryll U Ambrocio MD Incorporated was last updated on August 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.