DR. ALEXANDRA DITULLIO (M.D.) – Emergency Medicine Physician, NPI 1710243886

DR. ALEXANDRA DITULLIO (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 18042 (HI). The NPI Number for DR. ALEXANDRA DITULLIO (M.D.) is 1710243886

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALEXANDRA DITULLIO (M.D.)
NPI
1710243886
Phone
(808) 597-8778
Address
770 KAPIOLANI BLVD
Enumeration Date
3 April 2012
Last Update Date
11 December 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8083003441
Graduation Year
2012 (14 years ago)
PAC ID
1052620135
Group Practice PAC ID
4587039441
Professional Enrollment ID
I20151013001052
Address ID
HI967402694KA73XXXSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

258 EMERGENCY MEDICINE in HI

Provider Addresses for DR. ALEXANDRA DITULLIO (M.D.)

  • 770 KAPIOLANI BLVD

    SUITE 705

    HONOLULU, HI 968135212

    Phone: (808) 597-8778

    Mailing address matches the actual address.

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: 2015-10-13

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
I20151013001052IEmergency MedicineHITBD

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
99203New patient office or other outpatient visit, 30-44 minutes129129$0
99213Established patient office or other outpatient visit, 20-29 minutes8775$0
99204New patient office or other outpatient visit, 45-59 minutes3939$0
99214Established patient office or other outpatient visit, 30-39 minutes2221$0
81002Urinalysis, manual test1818$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: 4587039441View full group profile
NameSpecialtyState
Physician AssistantPA

Reviews

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Frequently asked questions

Does DR. ALEXANDRA DITULLIO (M.D.) have a public NPI I can cite?
Public records show DR. ALEXANDRA DITULLIO (M.D.) under NPI 1710243886.
Is DR. ALEXANDRA DITULLIO (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. ALEXANDRA DITULLIO (M.D.) as active.
What services align with DR. ALEXANDRA DITULLIO (M.D.)'s listing?
DR. ALEXANDRA DITULLIO (M.D.)'s public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. ALEXANDRA DITULLIO (M.D.)?
DR. ALEXANDRA DITULLIO (M.D.) shows a connection to Honolulu, Hawaii in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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