Individual provider Active NPI

Edward E Okimoto, MD

  • Internal Medicine Physician
  • Kapolei, HI
National Provider Identifier
1104939289
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD8325 Issued in HI
Practice address
599 Farrington Hwy
Suite 201
Kapolei, HI 96707-2001
Phone
(808) 674-9500
Fax
(808) 674-9436
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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 MD8325 HI Primary

Addresses

Primary practice location

599 Farrington Hwy
Suite 201
Kapolei, HI 96707-2001

Mailing address

599 Farrington Hwy
Suite 201
Kapolei, HI 96707-4511
Phone (808) 691-7338

Other identifiers 1

IdentifierTypeStateIssuer
04978519MedicaidHI

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
I20080215000076 HI Practitioner - Internal Medicine 5395828255 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1380 Lusitana St
Honolulu, HI 96813-2448

599 Farrington Hwy
Suite 201
Kapolei, HI 96707-2028
Phone (808) 691-7338

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Careresource Hawaii Home health agency, Honolulu, HI, CCN 127013
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8325HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
The Queens Medical Center CurrentSince Nov 1, 2021 Accepting new patients
The Queens Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Queen'S Development Corporation & Subsidiaries CurrentSince Feb 1, 2008 Accepting new patients
Queen'S Development Corporation & Subsidiaries CurrentSince Feb 1, 2008 Accepting new patients
The Queen'S Medical Center Current Accepting new patients

Locations

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

599 Farrington Hwy
Ste 201
Kapolei, HI 96707
Phone (808) 674-9500

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1104939289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY",
            "address_2": "SUITE 201",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074511",
            "telephone_number": "808-691-7338",
            "fax_number": "808-691-7360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY",
            "address_2": "SUITE 201",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072001",
            "telephone_number": "808-674-9500",
            "fax_number": "808-674-9436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKIMOTO",
        "first_name": "EDWARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD8325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04978519",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.