Organization Active NPI

Oahu Kidney Care LLC

  • Nephrology Physician
  • Honolulu, HI
National Provider Identifier
1063994606
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
OAHU KIDNEY CARE LLC
Practice address
1380 Lusitana St Ste 907
Honolulu, HI 96813-2448
Phone
(808) 638-2642
Fax
(808) 672-2931
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Authorized official

Name
Dr. Kunal Parekh, MDNPI 1205141793
Title
Owner / Nephrologist
Phone
(808) 638-2642

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1380 Lusitana St Ste 907
Honolulu, HI 96813-2448

Mailing address

PO Box 2201
Honolulu, HI 96805-2201
Phone (808) 638-2642

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190225002317 HI Part B Supplier - Clinic/Group Practice 7315286069 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2173089Oahu Kidney Care LLC1380 Lusitana St Ste 907, Honolulu, HI 96813Provider-performed microscopyOct 3, 2027

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: kunal.parekh@hawaiihie.medicity.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1063994606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968052201",
            "telephone_number": "808-638-2642",
            "fax_number": "808-672-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 907",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132448",
            "telephone_number": "808-638-2642",
            "fax_number": "808-672-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAHU KIDNEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "KUNAL",
        "authorized_official_title_or_position": "OWNER / NEPHROLOGIST",
        "authorized_official_telephone_number": "808-638-2642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.