Individual provider Active NPI

Linda J. S. Anegawa, MD

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1104913946
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-13216 Issued in HI
Practice address
1712 Liliha St Ste 205
Honolulu, HI 96817-3100
Phone
(808) 219-0527
Fax
(808) 913-3824
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A72637 CA
Internal Medicine Physician 207R00000X MD-13216 HI Primary

Addresses

Primary practice location

1712 Liliha St Ste 205
Honolulu, HI 96817-3100

Mailing address

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6770

Other practice location 1

1300 Crane St
Menlo Park, CA 94025-4260
Phone (650) 498-6770

Other identifiers 2

IdentifierTypeStateIssuer
0000252874OtherHIHMSA BILLING NUMBER
56870101MedicaidHI

Other names 1

  • Linda J Schatten Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@anegawamd.sprucecare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220722002570 NV Practitioner - Internal Medicine 4688614829 Reassigns benefits to 1 organization
I20250820000884 AL Practitioner - Internal Medicine 4688614829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Pennsylvania State University College of Medicine, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

640 Ellicott St
Suite 101
Buffalo, NY 14203-1252

PO Box
Suite 2649
McCall, ID 83638-2649

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20726NVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A72637CAMDInternal Medicine Physician
MD-13216HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ognomy Sleep Associates de, LLC CurrentSince Jul 23, 2025 Accepting new patients
Ognomy Sleep Associates FL LLC CurrentSince Jun 6, 2025 Accepting new patients
Form Health Associates, P.C. Past Accepting new patients
Form Health Associates, P.C. Past Accepting new patients

Locations

600 Boulevard South SW
Ste 104
Huntsville, AL 35802
Phone (800) 618-6990

2101 S Decatur Blvd
Ste 7
Las Vegas, NV 89102

640 Ellicott St
Ste 101
Buffalo, NY 14203

Interoperability endpoints

  • Direct secure messaging: linda.anegawa@168064768409604.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1104913946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CRANE ST",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254260",
            "telephone_number": "650-498-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST STE 205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173100",
            "telephone_number": "808-219-0527",
            "fax_number": "808-913-3824"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Crane St",
            "address_purpose": "LOCATION",
            "city": "Menlo Park",
            "state": "CA",
            "postal_code": "940254260",
            "country_code": "US",
            "telephone_number": "650-498-6770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANEGAWA",
        "first_name": "LINDA",
        "middle_name": "J. S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A72637",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-13216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000252874",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56870101",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@anegawamd.sprucecare.com",
            "affiliation": "N",
            "address_1": "1712 Liliha St Ste 205",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968173100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "SCHATTEN",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.