Active NPI
Marina Ostroukhova, MD
- Allergy & Immunology Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- MD15662
- Practice address
- 1329 Lusitana St Ste 603
Honolulu, HI 96813-2431 - Phone
- (808) 521-2712
- Fax
- (808) 537-5823
- NPI assigned
- Apr 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | MD15662 | HI | Primary |
| Internal Medicine Physician | 207R00000X | MD15662 | HI |
Addresses
Primary practice location
1329 Lusitana St Ste 603
Honolulu, HI 96813-2431
Mailing address
2575 Kuhio Ave Apt 904
Honolulu, HI 96815-3919
Phone (585) 354-7411
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100907000657 | HI | Practitioner - Allergy/Immunology | 7012031412 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Aloha Allergy and Immunology LLC
Practice addresses (Care Compare)
1329 Lusitana St
Suite 603
Honolulu, HI 96813-2431
Phone (808) 521-2712
161 Wailea Ike PL
Suite B102
Wailea, HI 96753-6502
Phone (808) 521-2712
3-3295 Kuhio Hwy
Suite 203
Lihue, HI 96766-1035
Phone (808) 521-2712
Hospital & facility affiliations
- The Queens Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (2 of 4)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aloha Allergy and Immunology LLC | Allergy & Immunology | Current | Accepting new patients |
| Hawaii Permanente Medical Group Inc | Current | Accepting new patients |
Locations
670 Ponahawai St
Ste 122
Hilo, HI 96720
Phone (808) 521-2712
1329 Lusitana St
Ste 603
Honolulu, HI 96813
Phone (808) 521-2712
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205
79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413
3-3295 Kuhio Hwy
Ste 203
Lihue, HI 96766
Phone (808) 246-4707
161 Wailea Ike Pl
Ste B102
Wailea, HI 96753
Phone (808) 521-2712
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
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 and National Provider Directory roles.
-
- Allergy & Immunology Physician
- Honolulu, HI
- NPI 1205176492
Allergy & Immunology, HI
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": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398902400000",
"number": "1043482706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2575 KUHIO AVE APT 904",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968153919",
"telephone_number": "585-354-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST STE 603",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132431",
"telephone_number": "808-521-2712",
"fax_number": "808-537-5823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTROUKHOVA",
"first_name": "MARINA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-01",
"last_updated": "2014-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "HI",
"license": "MD15662",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD15662",
"primary": false
}
],
"identifiers": [],
"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 May 1, 2014; 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.