Individual provider Active NPI

Allan Kunimoto, M.D.

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1114979762
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1533 Issued in HI
Practice address
1126 S King St
Honolulu, HI 96814-1919
Phone
(808) 593-8935
Fax
(808) 596-9104
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1533 HI
Ophthalmology Physician 207W00000X 1533 HI Primary

Addresses

Primary practice location

1126 S King St
Honolulu, HI 96814-1919

Mailing address

1126 S King St
Honolulu, HI 96814-1919
Phone (808) 593-8935

Other identifiers 2

IdentifierTypeStateIssuer
03150301MedicaidHI
00B003491-4OtherHIHAWAII MEDICAL SERVICE AS

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
I20050928001123 HI Practitioner - Ophthalmology 4486689403 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1126 S King St
Honolulu, HI 96814-1919
Phone (808) 593-8935

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: allan.kunimoto@1364.chartlogic.direct-ci.com

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1114979762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141919",
            "telephone_number": "808-593-8935",
            "fax_number": "808-596-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141919",
            "telephone_number": "808-593-8935",
            "fax_number": "808-596-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNIMOTO",
        "first_name": "ALLAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "1533",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03150301",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII MEDICAL SERVICE AS",
            "identifier": "00B003491-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.