Individual provider Active NPI

Amruta Sabu Nair

  • Nephrology Physician
  • Honolulu, HI
National Provider Identifier
1013561448
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-23972 Issued in HI
Practice address
1520 Liliha St Ste 601
Honolulu, HI 96817-3564
Phone
(808) 523-0445
Fax
(808) 356-3380
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-23972 HI Primary

Addresses

Primary practice location

1520 Liliha St Ste 601
Honolulu, HI 96817-3564

Mailing address

1520 Liliha St Ste 601
Honolulu, HI 96817-3564
Phone (808) 523-0445

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
I20240627003645 HI Practitioner - NephrologyPractitioner - Neurology 1153865407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hawaii Kidney Specialists LLPGroup PAC ID 5698759066, 29 clinicians

Practice addresses (Care Compare)

1520 Liliha St
Suite 601
Honolulu, HI 96817-3564
Phone (808) 523-0445

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Kidney Care LLC Nephrology CurrentSince Sep 15, 2024 Accepting new patients
Hawaii Kidney Specialists, LLP Nephrology CurrentSince Jun 12, 2024 Accepting new patients

Locations

98-211 Pali Momi St
Ste 320
Aiea, HI 96701
Phone (808) 486-9898

275 Ponahawai St
Ste 202
Hilo, HI 96720
Phone (808) 961-3031

1520 Liliha St
Ste 601
Honolulu, HI 96817
Phone (808) 536-9964

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Interoperability endpoints

  • Direct secure messaging: anair66111@direct.acumenmd.com
  • FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1013561448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173564",
            "telephone_number": "808-523-0445",
            "fax_number": "808-356-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 LILIHA ST STE 601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173564",
            "telephone_number": "808-523-0445",
            "fax_number": "808-356-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIR",
        "first_name": "AMRUTA",
        "middle_name": "SABU",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-23972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.