Sean Paul Chislett, MD
Individual provider Active NPI Otolaryngology Physician · Tripler Army Medical Center, HI
NPI 1043551476 · NPPES record last updated Apr 16, 2025
Key facts
- NPI
- 1043551476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Otolaryngology Physician 207Y00000X
- License
- MD-21534 (HI)
- Practice address
- 1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001 - Phone
- (808) 433-5334
- NPI assigned
- Mar 11, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Otolaryngology
- Education
- University of Texas Medical School at Houston, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Queens University Medical Group
Practice addresses (Care Compare)
1301 Punchbowl St
Honolulu, HI 96813-2499
1380 Lusitana St
Honolulu, HI 96813-2448
Hospital & facility affiliations
- The Queens Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210105003068 | HI | Practitioner - Otolaryngology | 0345590774 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles (3 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queen'S Medical Center | Current |
Accepting new patients | |
| Queens University Medical Group | Current |
Accepting new patients | |
| The Queens Medical Center | Current |
Accepting new patients |
Locations
1329 Lusitana St
Ste 407
Honolulu, HI 96813
Phone (808) 533-3368
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859
Phone (808) 433-2460
Networks
- HI PPO
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD-21534 | HI | Yes |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Mailing address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
NPI Registry JSON
{
"created_epoch": "1362960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1043551476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JARRETT WHITE RD",
"city": "TRIPLER ARMY MEDICAL CENTER",
"state": "HI",
"postal_code": "968595001",
"telephone_number": "808-433-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHISLETT",
"first_name": "SEAN",
"middle_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-11",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "HI",
"license": "MD-21534",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tripler Army Medical Center, HI
- Ellen Cheng
- Alexandros Cherry
- Joy Oshiro Chin
- Bradley Ching
- Brian H. Ching
- Sara Marie Chiu
- Eric W. Cho
- Namwoo Cho
- Jay Jiwook Choi
- Thomas Jesung Choi
All providers in Tripler Army Medical Center, HI · Otolaryngology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.