NPIMap

Organization Active NPI

Castle Physician Network

  • Internal Medicine Physician
  • Kailua, HI
National Provider Identifier
1043696206
Registry record updated Aug 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CASTLE PHYSICIAN NETWORK
Practice address
30 Aulike St
Kailua, HI 96734-2739
Phone
(808) 263-5011
NPI assigned
Aug 10, 2015
Organization subpart
Yes
Parent organization
CASTLE MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2015

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

Authorized official

Name
Jeff Nye
Title
Cfo
Phone
(808) 263-5142

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

30 Aulike St
Kailua, HI 96734-2739

Mailing address

PO Box 129
Kailua, HI 96734-0129
Phone (808) 263-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160623001787 HI Part B Supplier - Clinic/Group Practice 6709177686 Receives reassigned benefits from 29 practitioners
1 other NPI on this enrollment
Practice locations: Honolulu, HI; Pearl City, HI; Kapolei, HI; Kailua, HI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Castle Mem O Rial Hospi

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

660 Kailua Rd
#101
Kailua, HI 96734
Phone (808) 263-2273

890 Kamokila Blvd
#7
Kapolei, HI 96707
Phone 80852122732022

91-710 Farrington Hwy
Ste A100
Kapolei, HI 96707
Phone (808) 521-2273

92-1001 Olani St
Kapolei, HI 96707
Phone (808) 797-7980

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1439164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439164800000",
    "number": "1043696206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967340129",
            "telephone_number": "808-263-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342739",
            "telephone_number": "808-263-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE PHYSICIAN NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASTLE MEDICAL CENTER",
        "enumeration_date": "2015-08-10",
        "last_updated": "2015-08-10",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-263-5142"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.