DR. PIALI POLICARPIO DATTARAY (M.D.) – Otolaryngology Physician, NPI 1649469800

DR. PIALI POLICARPIO DATTARAY (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in OTOLARYNGOLOGY. They hold the professional credentials M.D.. They hold a License No. A98120 (CA). The NPI Number for DR. PIALI POLICARPIO DATTARAY (M.D.) is 1649469800

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. PIALI POLICARPIO DATTARAY (M.D.)
NPI
1649469800
Phone
(808) 432-0000
Address
3288 MOANALUA RD
Enumeration Date
23 October 2007
Last Update Date
29 March 2021

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
7012101405
Group Practice PAC ID
9830094515
Professional Enrollment ID
I20110113000755
Address ID
CA958165616SA2800XSTXX300
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

46 OTOLARYNGOLOGY in HI

Provider Addresses for DR. PIALI POLICARPIO DATTARAY (M.D.)

  • 3288 MOANALUA RD

    HONOLULU, HI 968191469

    Phone: (808) 432-0000

    Type: Mailing

  • Day Street, Riverside, Riverside County, California, 92553, United States

    RIVERSIDE, CA 925070901

    Phone: (951) 697-5570

    Fax: (951) 697-5596

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $254.

Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: GENZYME CORPORATION ($146).

Total Amount

$254

General + Research + Ownership

Payments

4

Total payment records

General Amount

$254

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-01-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20101029000638IOtolaryngologyHITBD
I20110113000755IOtolaryngologyCATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96819)

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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: 9830094515View full group profile
NameSpecialtyState
Diagnostic RadiologyCA
Diagnostic RadiologyCA
Internal MedicineCA
-CA
Family PracticeCA
-CA
-CA
Allergy/Immunology, RheumatologyCA
Physician AssistantCA
Physician AssistantCA

Reviews

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Frequently asked questions

How do I look up DR. PIALI POLICARPIO DATTARAY (M.D.) by NPI?
Use NPI 1649469800 when you need to reference DR. PIALI POLICARPIO DATTARAY (M.D.) in forms, claims, or directories.
Is DR. PIALI POLICARPIO DATTARAY (M.D.) active in the national directory?
DR. PIALI POLICARPIO DATTARAY (M.D.)'s public NPI profile is in an active state.
What field does DR. PIALI POLICARPIO DATTARAY (M.D.) work in?
You can think of DR. PIALI POLICARPIO DATTARAY (M.D.) as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
Does DR. PIALI POLICARPIO DATTARAY (M.D.) practice in Hawaii?
You will see Honolulu, Hawaii on file for DR. PIALI POLICARPIO DATTARAY (M.D.) alongside any extra practice locations.
What if Honolulu, Hawaii seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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