Individual provider Active NPI

Sukchai Satta, M.D.

  • Internal Medicine Physician
  • Kealakekua, HI
National Provider Identifier
1093998189
Registry record updated Mar 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
02774 Issued in HI
Practice address
79-7266 Mamalahoa Hwy
Kealakekua, HI 96750-7919
Phone
(808) 322-9324
Fax
(808) 322-9234
NPI assigned
Dec 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2013

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 02774 HI Primary

Addresses

Primary practice location

79-7266 Mamalahoa Hwy
Kealakekua, HI 96750-7919

Mailing address

79-7266 Mamalahoa Hwy
Kealakekua, HI 96750-7919
Phone (808) 322-9324

Other identifiers 1

IdentifierTypeStateIssuer
3977-6OtherHIHMSA

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
I20051207000051 HI Practitioner - Internal Medicine 5395765259

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02774HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362700800000",
    "number": "1093998189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-7266 MAMALAHOA HWY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507919",
            "telephone_number": "808-322-9324",
            "fax_number": "808-322-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-7266 MAMALAHOA HWY",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507919",
            "telephone_number": "808-322-9324",
            "fax_number": "808-322-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTA",
        "first_name": "SUKCHAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-11",
        "last_updated": "2013-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "02774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "3977-6",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.