Individual provider Active NPI

Clifford Lau, MD

  • Orthopaedic Surgery Physician
  • Honolulu, HI
National Provider Identifier
1114026515
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD5248 Issued in HI
Practice address
1329 Lusitana St
Suite 501
Honolulu, HI 96813-2429
Phone
(808) 522-9633
Fax
(808) 522-5333
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD5248 HI Primary

Addresses

Primary practice location

1329 Lusitana St
Suite 501
Honolulu, HI 96813-2429

Mailing address

1329 Lusitana St
Suite 501
Honolulu, HI 96813-2429
Phone (808) 522-9633

Other identifiers 2

IdentifierTypeStateIssuer
01880902MedicaidHI
MD5248OtherHISTATE LICENSE NUMBER

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
I20050929000200 HI Practitioner - Orthopedic Surgery 6901831890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Hawaii John a. Burns School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1329 Lusitana St
Suite 303
Honolulu, HI 96813-2411

1329 Lusitana St
Suite 303
Honolulu, HI 96813-5888

1380 Lusitana St
Suite 510
Honolulu, HI 96813-2441
Phone (808) 495-4222

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD5248HIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clifford K. H. Lau, M.D., Inc. CurrentSince Jan 15, 2013 Accepting new patients
Ashlee C. Nekoba, M.D. LLC Past Accepting new patients

Locations

1380 Lusitana St
Ste 510
Honolulu, HI 96813
Phone (808) 495-4222

1329 Lusitana St
Ste 303
Honolulu, HI 96813
Phone (808) 521-8388

1329 Lusitana St
Ste 501
Honolulu, HI 96813
Phone (808) 521-1102

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114026515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-522-9633",
            "fax_number": "808-522-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-522-9633",
            "fax_number": "808-522-5333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAU",
        "first_name": "CLIFFORD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD5248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01880902",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MD5248",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.