Individual provider Active NPI

Ian Nui Chun, MD

  • Child & Adolescent Psychiatry Physician
  • Hilo, HI
National Provider Identifier
1013119700
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
5053 Issued in HI
Practice address
75 Aupuni St RM 206
Hilo, HI 96720-4245
Phone
(808) 933-0599
Fax
(808) 933-0411
NPI assigned
Jun 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5053 HI
Psychiatry Physician 2084P0800X 5053 HI
Child & Adolescent Psychiatry Physician 2084P0804X 5053 HI Primary

Addresses

Primary practice location

75 Aupuni St RM 206
Hilo, HI 96720-4245

Mailing address

67-1294 Laikealoha St
Kamuela, HI 96743-8317
Phone (808) 220-8914

Other practice location 1

67-1294 Laikealoha St
Kamuela, HI 96743-8317
Phone (808) 220-8914

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
I20130812000325 HI Practitioner - Psychiatry 1254573868 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5053HIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital CurrentSince Feb 1, 2019 Accepting new patients
Dr. Ian Nui Chun LLC PastSince Jun 1, 2013 Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Interoperability endpoints

  • Direct secure messaging: ian.chun@hawaiihie.medicity.net

Organizations & group practices 2

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": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1013119700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67-1294 LAIKEALOHA ST",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438317",
            "telephone_number": "808-220-8914",
            "fax_number": "808-887-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 AUPUNI ST RM 206",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204245",
            "telephone_number": "808-933-0599",
            "fax_number": "808-933-0411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67-1294 Laikealoha St",
            "address_purpose": "LOCATION",
            "city": "Kamuela",
            "state": "HI",
            "postal_code": "967438317",
            "country_code": "US",
            "telephone_number": "808-220-8914",
            "fax_number": "808-887-8118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUN",
        "first_name": "IAN",
        "middle_name": "NUI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "5053",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "5053",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "5053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.