Individual provider Active NPI

James Ken Okamoto, MD

  • Family Medicine Physician
  • Waipahu, HI
National Provider Identifier
1073596250
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD15243 Issued in HI
Practice address
94-849 Lumiaina St
Waikele Professional Ctr, Suite 207
Waipahu, HI 96797-5025
Phone
(808) 677-8222
Fax
(808) 677-8333
NPI assigned
Nov 22, 2005
Last updated
Jun 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00032858 WA
Family Medicine Physician 207Q00000X 15243 HI
Family Medicine Physician 207Q00000X MD15243 HI Primary

Addresses

Primary practice location

94-849 Lumiaina St
Waikele Professional Ctr, Suite 207
Waipahu, HI 96797-5025

Mailing address

94-849 Lumiaina St
Waikele Professional Ctr, Suite 207
Waipahu, HI 96797-5025
Phone (808) 677-8222

Other identifiers 4

IdentifierTypeStateIssuer
104484OtherWALABOR & INDUSTRIES
OK6337OtherWABLUE SHIELD
8181885MedicaidWA
080088748OtherWAMEDICARE RAILROAD

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
I20110106000333 HI Practitioner - Family Practice 8527113075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Nebraska College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

94 -849 Lumiaina St
Suite 207
Waipahu, HI 96797-5025
Phone (808) 677-8222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15243HIMDFamily Medicine Physician
MD15243HIMDFamily Medicine Physician
MD00032858WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ka Wai Ola Family Medical Clinic, LLC Family Medicine CurrentSince Jun 8, 2010 Accepting new patients
Healthtap Medical Group, P.C. Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Ka Wai Ola Family Medical Clinic, LLC PastSince Jun 8, 2010 Accepting new patients

Locations

94-849 Lumiaina St
Unit 207
Waipahu, HI 96797
Phone (808) 286-7390

Networks

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

Interoperability endpoints

  • Direct secure messaging: james.okamoto@24019636715524.direct.elationemr.com

Organizations & group practices 4

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 3

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1073596250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-849 LUMIAINA ST",
            "address_2": "WAIKELE PROFESSIONAL CTR, SUITE 207",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975025",
            "telephone_number": "808-677-8222",
            "fax_number": "808-677-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-849 LUMIAINA ST",
            "address_2": "WAIKELE PROFESSIONAL CTR, SUITE 207",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975025",
            "telephone_number": "808-677-8222",
            "fax_number": "808-677-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAMOTO",
        "first_name": "JAMES",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00032858",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "15243",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD15243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "104484",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "OK6337",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8181885",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080088748",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.