ANITA M PEDERSEN MD
NPI 1710947965
Pediatrics - Pediatric Endocrinology in Tripler Army Medical Center, HI

Active since March 23, 2006PECOS Enrolled
1 JARRETT WHITE RD, DEPARTMENT OF PEDIATRICS, MCHK-PE, TRIPLER ARMY MEDICAL CENTER, HI 96859(808) 433-6407(808) 433-4837 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anita M Pedersen Md NPPES

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

ANITA M PEDERSEN MD (NPI 1710947965) is an individual pediatric endocrinology provider in Tripler Army Medical Center, Hawaii, licensed in Hawaii (MD-16097) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710947965
Entity TypeIndividualFemale
Primary Taxonomy2080P0205X
Provider Legal NameANITA M PEDERSENCredential: MD
Location Address1 JARRETT WHITE RD, DEPARTMENT OF PEDIATRICS, MCHK-PETripler Army Medical Center, HI 96859
Mailing Address22 S Kainalu DrKailua, HI 96734-2722
Fax(808) 433-4837
Sole ProprietorNo
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 4, 2017
NPI 1710947965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in HI · MD-16097
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License MD-16097 (HI)
1 JARRETT WHITE RD, Tripler Army Medical Center, HI 96859

Other Identifiers 1

OtherMD-16097HI · Medical License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anita M Pedersen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96859 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
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.

Social Worker (Clinical)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Pediatrics
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Internal Medicine
1 JARRETT WHITE RD, TRIPLER ARMY MEDICAL CENTER
TRIPLER ARMY MEDICAL CENTER, HI 96859
Occupational Therapist
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859
Nurse Practitioner (Psychiatric/Mental Health)
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
General Practice
1 JARRETT WHITE RD
TRIPLER AMC, HI 96859
Ophthalmology
1 JARRETT WHITE RD
TRIPLER ARMY MEDICAL CENTER, HI 96859

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 Anita Pedersen's NPI number?

The NPI number for Anita Pedersen is 1710947965. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Anita Pedersen located?

Anita Pedersen practices at 1 Jarrett White Rd Department Of Pediatrics, Mchk-Pe, Tripler Army Medical Center, HI 96859. The listed phone number is (808) 433-6407.

What is Anita Pedersen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Anita Pedersen enrolled in Medicare?

Yes. Anita Pedersen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anita Pedersen was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.