Individual provider Active NPI

Jason M Laird, MD

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1114009081
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14291 Issued in HI
Practice address
1029 Kapahulu Ave Ste 309
Honolulu, HI 96816-1332
Phone
(808) 568-0160
Fax
(808) 568-0160
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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 19408 SC
Internal Medicine Physician 207R00000X 14291 HI Primary

Addresses

Primary practice location

1029 Kapahulu Ave Ste 309
Honolulu, HI 96816-1332

Mailing address

PO Box 8418
Honolulu, HI 96830-0418
Phone (808) 568-0160

Other practice location 1

3221 Waialae Ave Ste 382
Honolulu, HI 96816-5845
Phone (808) 568-0160

Other practice location 2

1881 Nani St
Wailuku, HI 96793-1811
Phone (808) 568-0160

Other identifiers 1

IdentifierTypeStateIssuer
194088MedicaidSC

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
I20070713000444 HI Practitioner - Internal Medicine 4082508155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Carolina School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1029 Kapahulu Ave
Suite 309
Honolulu, HI 96816-1332
Phone (808) 568-0160

Hospital & facility affiliations

  • Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue144

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14291HIMDInternal Medicine Physician
19408SCMDInternal Medicine Physician

Networks

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

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.

Hospital & facility affiliations 1

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1114009081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8418",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968300418",
            "telephone_number": "808-568-0160",
            "fax_number": "808-568-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 KAPAHULU AVE STE 309",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161332",
            "telephone_number": "808-568-0160",
            "fax_number": "808-568-0160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Waialae Ave Ste 382",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968165845",
            "country_code": "US",
            "telephone_number": "808-568-0160",
            "fax_number": "808-568-0160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1881 Nani St",
            "address_purpose": "LOCATION",
            "city": "Wailuku",
            "state": "HI",
            "postal_code": "967931811",
            "country_code": "US",
            "telephone_number": "808-568-0160",
            "fax_number": "808-568-0160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAIRD",
        "first_name": "JASON",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "19408",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "14291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194088",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.