Organization Active NPI

Pediatrics Associates, Inc.

  • Specialist
  • Honolulu, HI
National Provider Identifier
1043343395
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11350 Issued in HI
Legal business name
PEDIATRICS ASSOCIATES, INC.
Practice address
1024 Piikoi St
Honolulu, HI 96814-1925
Phone
(808) 596-2266
Fax
(808) 591-0470
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Shellie M Usami, M.D.NPI 1023180403
Title
Pediatrician
Phone
(808) 596-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 11350 HI Primary

Addresses

Primary practice location

1024 Piikoi St
Honolulu, HI 96814-1925

Mailing address

1024 Piikoi St
Honolulu, HI 96814-1925
Phone (808) 596-2266

Other identifiers 1

IdentifierTypeStateIssuer
02693801MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Pediatrics Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1010 S King St
Ste 701
Honolulu, HI 96814
Phone (808) 596-2266

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043343395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 PIIKOI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141925",
            "telephone_number": "808-596-2266",
            "fax_number": "808-591-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 PIIKOI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141925",
            "telephone_number": "808-596-2266",
            "fax_number": "808-591-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "USAMI",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PEDIATRICIAN",
        "authorized_official_telephone_number": "808-596-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "11350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02693801",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.