Individual provider Active NPI

Owen Denji Kaneshiro, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1043308620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-2628 Issued in HI
Practice address
321 N. Kuakini St.
Suite #201
Honolulu, HI 96817-2399
Phone
(808) 523-8611
NPI assigned
Oct 10, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-2628 HI Primary

Addresses

Primary practice location

321 N. Kuakini St.
Suite #201
Honolulu, HI 96817-2399

Mailing address

321 N. Kuakini St.
Suite #201
Honolulu, HI 96817-2399
Phone (808) 523-8611

Other identifiers 1

IdentifierTypeStateIssuer
03535301MedicaidHI

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
I20100405000506 HI Practitioner - Internal Medicine 4284688433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castle Medical CenterGroup PAC ID 6608762778, 77 clinicians

Practice addresses (Care Compare)

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5142

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-2628HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Medical Center CurrentSince Jul 1, 2023 Accepting new patients
Castle Medical Center CurrentSince Jul 1, 2023 Accepting new patients

Locations

321 N Kuakini St
Ste 201
Honolulu, HI 96817
Phone (808) 523-8611

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

Interoperability endpoints

  • Direct secure messaging: owen.kaneshiro@43479566319620.direct.elationemr.com
  • Direct secure messaging: owen.kaneshiro@hawaiihie.medicity.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043308620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N. KUAKINI ST.",
            "address_2": "SUITE #201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172399",
            "telephone_number": "808-523-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N. KUAKINI ST.",
            "address_2": "SUITE #201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172399",
            "telephone_number": "808-523-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANESHIRO",
        "first_name": "OWEN",
        "middle_name": "DENJI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-2628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03535301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.