Active NPI
Charles Andrew Rogers, M.D.
- Family Medicine Physician
- Lihue, HI
National Provider Identifier
1023052826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 161660-1 EXPIRED
- Practice address
- 3367 Kuhio Hwy
Kauai Community Based Outpatient Clinic
Lihue, HI 96766 - Phone
- (808) 246-0497
- Fax
- (808) 246-9349
- NPI assigned
- Jun 15, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 161660-1 EXPIRED | NY | Primary |
| Psychiatry Physician | 2084P0800X | MD-6076 | HI | |
| Psychiatry Physician | 2084P0800X | ME 82443 | FL |
Addresses
Primary practice location
3367 Kuhio Hwy
Kauai Community Based Outpatient Clinic
Lihue, HI 96766
Mailing address
6966 Pomaikai St
Kapaa, HI 96746-9354
Phone (808) 823-0676
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 161660-1 EXPIRED | NY | MD | Family Medicine Physician |
| ME 82443 | FL | MD | Psychiatry Physician |
| MD-6076 | HI | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023052826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6966 POMAIKAI ST",
"city": "KAPAA",
"state": "HI",
"postal_code": "967469354",
"telephone_number": "808-823-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3367 KUHIO HWY",
"address_2": "KAUAI COMMUNITY BASED OUTPATIENT CLINIC",
"city": "LIHUE",
"state": "HI",
"postal_code": "96766",
"telephone_number": "808-246-0497",
"fax_number": "808-246-9349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "CHARLES",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "161660-1 EXPIRED",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "HI",
"license": "MD-6076",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME 82443",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.