Individual provider Active NPI

Philip Iee-Lian Kuo, M.D., PH.D.

  • Allergy & Immunology (Internal Medicine) Physician
  • Kailua, HI
National Provider Identifier
1003859059
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
MD12315 Issued in HI
Practice address
414 Uluniu St
Kailua, HI 96734-2517
Phone
(808) 261-8345
Fax
(808) 262-5239
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD12315 HI
Internal Medicine Physician 207R00000X MD12315 HI
Allergy & Immunology (Internal Medicine) Physician 207RA0201X MD12315 HI Primary

Addresses

Primary practice location

414 Uluniu St
Kailua, HI 96734-2517

Mailing address

414 Uluniu St
Kailua, HI 96734-2517
Phone (808) 261-8345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000111 HI Practitioner - Allergy/Immunology 4587668447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
American Medical Missionary College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Clinic IncGroup PAC ID 8921998808, 7 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 202
Honolulu, HI 96813-2401
Phone (808) 523-1600

414 Uluniu St
Kailua, HI 96734-2517
Phone (808) 261-8345

414 Uluniu St
Kailua, HI 96734-2556

98 -1079 Moanalua Rd
Suite 620
Aiea, HI 96701-4716
Phone (808) 384-8447

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MD12315HIMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic, Inc. Allergy & Immunology CurrentSince Jul 1, 2003 Accepting new patients

Locations

98-211 Pali Momi St
Ste 830
Aiea, HI 96701
Phone (808) 487-5527

98-1079 Moanalua Rd
Ste 620
Aiea, HI 96701
Phone (808) 486-0429

1329 Lusitana St
Ste 602
Honolulu, HI 96813
Phone (808) 522-5055

1329 Lusitana St
Ste 202
Honolulu, HI 96813
Phone (808) 526-0884

414 Uluniu St
Kailua, HI 96734
Phone (808) 261-8345

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1003859059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 ULUNIU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342517",
            "telephone_number": "808-261-8345",
            "fax_number": "808-262-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 ULUNIU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342517",
            "telephone_number": "808-261-8345",
            "fax_number": "808-262-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "PHILIP",
        "middle_name": "IEE-LIAN",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "HI",
            "license": "MD12315",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD12315",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "HI",
            "license": "MD12315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.