Active NPI
Patrick K. Okamura, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Kealakekua, HI
National Provider Identifier
1104841790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- MD2261
- Practice address
- 79-1019 Haukapila St
Kealakekua, HI 96750-7920 - Phone
- (808) 547-9593
- Fax
- (808) 599-2714
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD2261 | HI | Primary |
Addresses
Primary practice location
79-1019 Haukapila St
Kealakekua, HI 96750-7920
Mailing address
75-5783 Melelina St
Kailua Kona, HI 96740-1929
Phone (808) 329-6136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03374705 | Medicaid | HI | |
| C0037295 | Other | HI | SHIELD/HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2261 | HI | MD | Periodontist |
| MD2261 | HI | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Islands Emergency Medical Service Hawaii, LLC | Emergency Medical Services | Past | Accepting new patients |
| Keauhou Urgent Care Incorporated | Past | Accepting new patients | |
| Clinical Laboratories of Hawaii LLP | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinical Medical Laboratory
- Ewa Beach, HI
- NPI 1134195357
-
- Emergency Medical Services (Emergency Medicine) Physician
- Honolulu, HI
- NPI 1154393353
-
- General Practice Physician
- Kailua Kona, HI
- NPI 1851433924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104841790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75-5783 MELELINA ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401929",
"telephone_number": "808-329-6136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79-1019 HAUKAPILA ST",
"city": "KEALAKEKUA",
"state": "HI",
"postal_code": "967507920",
"telephone_number": "808-547-9593",
"fax_number": "808-599-2714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAMURA",
"first_name": "PATRICK",
"middle_name": "K.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "HI",
"license": "MD2261",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03374705",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHIELD/HMSA",
"identifier": "C0037295",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kealakekua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.