Individual provider Active NPI

Hausen Cheong, M.D.

  • Internal Medicine Physician
  • Pearl City, HI
National Provider Identifier
1073540274
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-7553 Issued in HI
Practice address
803 Kamehameha Hwy
Suite #412
Pearl City, HI 96782-2680
Phone
(808) 455-9095
Fax
(808) 455-6113
NPI assigned
Jun 26, 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
Internal Medicine Physician 207R00000X MD-7553 HI Primary

Addresses

Primary practice location

803 Kamehameha Hwy
Suite #412
Pearl City, HI 96782-2680

Mailing address

918 17TH Ave
Honolulu, HI 96816-4106
Phone (808) 988-2188

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
I20051014000009 HI Practitioner - Internal Medicine 3577588938 Practice locations: Pearl City, HI

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

803 Kamehameha Hwy
Suite 412
Pearl City, HI 96782-2638
Phone (808) 988-2188

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-7553HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos B.C. Lam, M.D. Internal Medicine Past Accepting new patients

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

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 2

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073540274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 17TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164106",
            "telephone_number": "808-988-2188",
            "fax_number": "808-455-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY",
            "address_2": "SUITE #412",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822680",
            "telephone_number": "808-455-9095",
            "fax_number": "808-455-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEONG",
        "first_name": "HAUSEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-7553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

Verify at the official NPI Registry.