Individual provider Active NPI

Khadil Karim Hosein, M.D

  • Emergency Medicine Physician
  • Wailuku, HI
National Provider Identifier
1063822682
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-22891-0 Issued in HI
Practice address
221 Mahalani St
Wailuku, HI 96793-2526
Phone
(808) 442-5064
NPI assigned
May 5, 2014
Last updated
Feb 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME138297 FL
Emergency Medicine Physician 207P00000X MD-22891-0 HI Primary

Addresses

Primary practice location

221 Mahalani St
Wailuku, HI 96793-2526

Mailing address

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 442-5064

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khosein213882@MHSDIRECT.NET
Direct Messaging Address khosein213882@MHSDIRECT.NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190821001406 FL Practitioner - Emergency Medicine 9537497177 Reassigns benefits to 2 organizations
I20230215001553 HI Practitioner - Emergency Medicine 9537497177 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maui Memorial Emergency Medical Associates IncGroup PAC ID 7618224981, 23 clinicians

Practice addresses (Care Compare)

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME138297FLMDEmergency Medicine Physician
MD-22891-0HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Maui Memorial Emergency Medical Associates Inc Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Sep 20, 2023 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Sep 20, 2023 Accepting new patients
Inphynet South Broward LLC Emergency Medicine CurrentSince Jul 18, 2019 Accepting new patients
Jacobi Medical Center Ed Past Accepting new patients
Complete Urgent Healthcare LLC PastSince Mar 10, 2020 Accepting new patients

Locations

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

703 N Flamingo Rd
Pembroke Pnes, FL 33028
Phone (954) 436-5000

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

100 Keokea Pl
Kula, HI 96790
Phone (808) 875-6690

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

Interoperability endpoints

  • Direct secure messaging: khosein213882@mhsdirect.net

Organizations & group practices 8

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": "1399248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1063822682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-442-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-442-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSEIN",
        "first_name": "KHADIL",
        "middle_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-05",
        "last_updated": "2023-02-03",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME138297",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-22891-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khosein213882@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "3600 Washington St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330218216",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khosein213882@MHSDIRECT.NET",
            "affiliation": "N",
            "address_1": "3501 Johnson St",
            "city": "Hollywood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330215421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.