Organization Active NPI

University Clinical Education & Research Associates

  • Specialist
  • Honolulu, HI
National Provider Identifier
1013966845
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES
Practice address
677 Ala Moana Blvd
Suite 1001
Honolulu, HI 96813
Phone
(808) 469-4900
Fax
(808) 536-9059
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Larry Jay Shapiro, MD
Title
Ceo
Phone
(808) 469-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X HI Primary

Addresses

Primary practice location

677 Ala Moana Blvd
Suite 1001
Honolulu, HI 96813

Mailing address

677 Ala Moana Blvd
Suite 1001
Honolulu, HI 96813-5614
Phone (808) 469-4900

Other identifiers 1

IdentifierTypeStateIssuer
086492MedicaidHI

Other names 2

  • UCERA Doing business as
  • University Health Partners of Hawaii Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031120000276 HI Part B Supplier - Clinic/Group Practice 1658275847 Receives reassigned benefits from 74 practitioners
Practice locations: Kailua-Kona, HI; Honolulu, HI; Kailua, HI; Kalaupapa, HI; Kaneohe, HI; Kapolei, HI; Kealakekua, HI; Lahaina, HI…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2245830University Clinical Education & Research Associate677 Ala Moana Blvd, Suite 1001, Honolulu, HI 96813Certificate of waiverNov 30, 2027

National Provider Directory

National Provider Directory

Locations

99-600 Kulawea St
Aiea, HI 96701
Phone (808) 861-6837

677 Ala Moana Blvd
Ste 625
Honolulu, HI 96813
Phone (808) 692-1580

677 Ala Moana Blvd
Ste 1015
Honolulu, HI 96813
Phone (808) 692-1059

677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813

347 N Kuakini St
#9
Honolulu, HI 96817
Phone (808) 523-8461

1907 S Beretania St
Honolulu, HI 96826
Phone (808) 371-2988

651 Ilalo St
#102
Honolulu, HI 96813
Phone (808) 692-1310

1121 Middle St
Honolulu, HI 96819
Phone (808) 271-0353

45-386 Kaneohe Bay Dr
Kaneohe, HI 96744
Phone (808) 271-0353

275 Rose St
Wahiawa, HI 96786
Phone (808) 305-3300

Practitioners & affiliated clinicians

Practitioners 102

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 102

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1013966845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD",
            "address_2": "SUITE 1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135614",
            "telephone_number": "808-469-4900",
            "fax_number": "808-536-9059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 ALA MOANA BLVD",
            "address_2": "SUITE 1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-469-4900",
            "fax_number": "808-536-9059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-469-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086492",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UCERA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University Health Partners of Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.