NPIMap

Individual provider Active NPI

Owen Koh Nishikawa, MD

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1053471797
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 11702 Issued in HI
Practice address
321 N Kuakini Street
Suite 304
Honolulu, HI 96817
Phone
(808) 536-5383
Fax
(808) 526-0877
NPI assigned
Dec 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 11702 HI Primary

Addresses

Primary practice location

321 N Kuakini Street
Suite 304
Honolulu, HI 96817

Mailing address

321 N Kuakini Street
Suite 304
Honolulu, HI 96817
Phone (808) 536-5383

Other identifiers 1

IdentifierTypeStateIssuer
00C0236863OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510001484 HI Practitioner - Family Practice 4284623612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

321 N Kuakini St
Suite 304
Honolulu, HI 96817-2360
Phone (808) 536-5383

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Home Health Honolulu Home health agency, Honolulu, HI, CCN 127025
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Rehabilitation Hospital of the Pacific Inpatient rehabilitation facility, Honolulu, HI, CCN 123025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 11702HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owen K. Nishikawa M.D., LLC Family Medicine CurrentSince Oct 20, 2012 Accepting new patients

Locations

321 N Kuakini St
Ste 304
Honolulu, HI 96817
Phone (808) 526-0877

Interoperability endpoints

  • Direct secure messaging: owen.nishikawa@25556757446660.direct.elationemr.com
  • Direct secure messaging: owen.nishikawa@hawaiihie.medicity.net

Organizations & group practices 1

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 9

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053471797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI STREET",
            "address_2": "SUITE 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-536-5383",
            "fax_number": "808-526-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI STREET",
            "address_2": "SUITE 304",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-536-5383",
            "fax_number": "808-526-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIKAWA",
        "first_name": "OWEN",
        "middle_name": "KOH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD 11702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00C0236863",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.