Individual provider Active NPI

Ken Sakuda, DPM

  • Podiatrist
  • Honolulu, HI
National Provider Identifier
1033158464
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO12402 Issued in HI
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

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005906MedicaidHI
00F005394OtherHIHMSA/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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

ProcedureNumber of procedures
Removal of nail tissue17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO12402HIMDPodiatrist

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.

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

Verify at the official NPI Registry.