DR. ALFREDO STABNICK NINO (M.D.) – Diagnostic Radiology Physician, NPI 1164489258

DR. ALFREDO STABNICK NINO (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials M.D.. They hold a License No. 37790 (AZ). The NPI Number for DR. ALFREDO STABNICK NINO (M.D.) is 1164489258

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALFREDO STABNICK NINO (M.D.)
NPI
1164489258
Phone
(808) 691-1000
Address
1301 Punchbowl St
Enumeration Date
1 May 2006
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8086911000
Graduation Year
1997 (29 years ago)
PAC ID
0244312825
Group Practice PAC ID
2466831557
Professional Enrollment ID
I20220726001449
Address ID
HI968132402HO1301XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

185 DIAGNOSTIC RADIOLOGY in HI

Provider Addresses for DR. ALFREDO STABNICK NINO (M.D.)

  • 1301 Punchbowl St

    Honolulu, HI 968132402

    Phone: (808) 691-1000

    Type: Location

  • 8020 CONSTITUTION PL NE STE 202

    ALBUQUERQUE, NM 871107640

    Phone: (505) 998-3096

    Fax: (505) 998-3100

    Type: Mailing

  • 67-1125 Mamalahoa Hwy

    Kamuela, HI 967438496

    Phone: (808) 885-4444

    Type: Location

  • Banner University Medical Center Phoenix, 1111, East McDowell Road, Phoenix, Maricopa County, Arizona, 85006, United States

    PHOENIX, AZ 850062612

    Phone: (602) 239-4850

    Fax: (602) 239-2607

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220726001449IDiagnostic RadiologyHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast517480$0
71045X-ray of chest, 1 view437375$0
70551Mri scan of brain without contrast182177$0
77080Dxa bone density measurement of hip, pelvis, spine180180$0
77067Screening mammography161161$0
View full utilization report →

Insurance plans in this area (ZIP 96813)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466831557View full group profile
NameSpecialtyState
Nurse PractitionerHI
Diagnostic RadiologyMD
Internal MedicineHI
H O S P I T A L I S TKY
Nurse PractitionerHI
Interventional Radiology, NeurosurgeryMD
Family PracticeNY
Internal MedicineHI
Interventional Cardiology, Internal MedicineMT
Geriatric Medicine, Internal MedicineHI

Reviews

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Frequently asked questions

Can I verify DR. ALFREDO STABNICK NINO (M.D.) with an NPI only?
You can start verification with NPI 1164489258 for DR. ALFREDO STABNICK NINO (M.D.), then check state licensing separately.
Does the file indicate DR. ALFREDO STABNICK NINO (M.D.) is practicing under active NPI?
Directory data currently reports DR. ALFREDO STABNICK NINO (M.D.) as active.
What is DR. ALFREDO STABNICK NINO (M.D.)'s primary classification?
Diagnostic Radiology Physician is the headline specialty for DR. ALFREDO STABNICK NINO (M.D.) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. ALFREDO STABNICK NINO (M.D.) on a map?
Expect Honolulu, Hawaii as a primary anchor for DR. ALFREDO STABNICK NINO (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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