Individual provider Active NPI

Marina Ostroukhova, MD

  • Allergy & Immunology Physician
  • Honolulu, HI
National Provider Identifier
1043482706
Registry record updated May 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD15662 Issued in HI
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

Updated by the provider on May 1, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100907000657 HI Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 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 3 clinicians

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 Hospital, Honolulu, HI, CCN 120001

National Provider Directory

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

Practice roles (2 of 4)

OrganizationSpecialtyStatusNew patients
Aloha Allergy and Immunology LLC Allergy & Immunology CurrentSince Apr 5, 2014 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Jul 2, 2010 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.

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

Verify at the official NPI Registry.