Active NPI
Ken Sakuda, DPM
- Podiatrist
- Honolulu, HI
National Provider Identifier
1033158464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO12402
- Practice address
- 550 S Beretania St
4081
Honolulu, HI 96813-2405 - Phone
- (808) 690-4727
- Fax
- (808) 777-1016
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO12402 | HI | Primary |
Addresses
Primary practice location
550 S Beretania St
4081
Honolulu, HI 96813-2405
Mailing address
PO Box 29089
Honolulu, HI 96820-1489
Phone (808) 690-4727
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005906 | Medicaid | HI | |
| 00F005394 | Other | HI | HMSA/BCBS PROVIDER NUMBER |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060616000000 | HI | Practitioner - Podiatry | 5799708251 | Practice locations: Honolulu, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- California School of Podiatric Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
321 N Kuakini St
Suite 801
Honolulu, HI 96817-2362
Phone (808) 521-2002
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO12402 | HI | MD | Podiatrist |
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- HI PPO
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1215939335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1033158464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 29089",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968201489",
"telephone_number": "808-690-4727",
"fax_number": "808-777-1016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S BERETANIA ST",
"address_2": "4081",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132405",
"telephone_number": "808-690-4727",
"fax_number": "808-777-1016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAKUDA",
"first_name": "KEN",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "HI",
"license": "PO12402",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005906",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA/BCBS PROVIDER NUMBER",
"identifier": "00F005394",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.