Individual provider Active NPI

Soren N Carlsen, MD

  • Urology Physician
  • Wailuku, HI
National Provider Identifier
1063568657
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD60107187 Issued in WA
Practice address
71 Kanoa St Ste 201
Wailuku, HI 96793-5816
Phone
(808) 242-8765
Fax
(808) 242-8769
NPI assigned
Jan 26, 2007
Last updated
Jan 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X MD60107187 WA Primary

Addresses

Primary practice location

71 Kanoa St Ste 201
Wailuku, HI 96793-5816

Mailing address

71 Kanoa St Ste 201
Wailuku, HI 96793-5816
Phone (808) 242-8765

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
I20160830001158 HI Practitioner - Urology 7315093804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Colorado School of Medicine, Denver, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maui Urology, LLCGroup PAC ID 9739413741, 3 clinicians

Practice addresses (Care Compare)

1883 Mill St
Wailuku, HI 96793-1236
Phone (808) 242-8765

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.15 of 100Reported as group
Quality
99.83
Improvement activities
40
Cost
77.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Urology, LLC Urology CurrentSince Oct 22, 2018 Accepting new patients

Locations

1883 Mill St
Wailuku, HI 96793
Phone (808) 242-8765

1883 Mill St
Ste A
Wailuku, HI 96793
Phone (808) 242-8765

71 Kanoa St
Ste 201
Wailuku, HI 96793
Phone (808) 242-8765

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BBGFBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/BBGFBD/Endpoint/BBGFBD
  • Direct secure messaging: soren.carlsen@mauiuro.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1063568657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 KANOA ST STE 201",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967935816",
            "telephone_number": "808-242-8765",
            "fax_number": "808-242-8769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 KANOA ST STE 201",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967935816",
            "telephone_number": "808-242-8765",
            "fax_number": "808-242-8769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSEN",
        "first_name": "SOREN",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WA",
            "license": "MD60107187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.