Individual provider Active NPI

Wayne Hiroshi Fujita, M.D.

  • Dermatology Physician
  • Aiea, HI
National Provider Identifier
1073690152
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
3818 Issued in HI
Practice address
99-128 Aiea Heights Dr
Suite 401
Aiea, HI 96701-3925
Phone
(808) 488-3000
Fax
(808) 488-9025
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

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
Dermatology Physician 207N00000X 3818 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr
Suite 401
Aiea, HI 96701-3925

Mailing address

99-128 Aiea Heights Drive
Suite 401
Aiea, HI 96701-3925
Phone (808) 488-3000

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
I20050718000384 HI Practitioner - Dermatology 2668408055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Irvine, California College of Medicine, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

99 -128 Aiea Heights Dr
Suite 401
Aiea, HI 96701-3934
Phone (808) 488-3000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision67
Removal of skin lesions652
Removal of nail tissue1-10
Removal or shaving of skin growth23
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3818HIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne H. Fujita MD Inc CurrentSince Nov 8, 2011 Accepting new patients

Locations

99-128 Aiea Heights Dr
Ste 401
Aiea, HI 96701
Phone (808) 488-3000

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073690152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DRIVE",
            "address_2": "SUITE 401",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013925",
            "telephone_number": "808-488-3000",
            "fax_number": "808-488-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR",
            "address_2": "SUITE 401",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013925",
            "telephone_number": "808-488-3000",
            "fax_number": "808-488-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJITA",
        "first_name": "WAYNE",
        "middle_name": "HIROSHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "3818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.