Individual provider Active NPI

Melissa A McKinney, D.O.

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1124112123
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOS-1778 Issued in HI
Practice address
915 N King St
Honolulu, HI 96817-4544
Phone
(808) 848-1438
NPI assigned
Oct 3, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOS-1778 HI Primary

Addresses

Primary practice location

915 N King St
Honolulu, HI 96817-4544

Mailing address

400 Hobron LN Apt 1601
Honolulu, HI 96815-1203
Phone (971) 804-6641

Other practice location 1

3100 McKinnon St
Suite 400
Dallas, TX 75201-1044
Phone (214) 754-8700 ext. 335

Other names 1

  • Melissa A Perrine Former name

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
I20171113002966 HI Practitioner - Family Practice 2163313073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Western University of Health Sciences College of Dental Med, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1475 Linapuni St
Honolulu, HI 96819-3569
Phone (808) 791-9413

1846 Gulick Ave
Honolulu, HI 96819-4212
Phone (808) 791-9400

2229 N School St
Honolulu, HI 96819-2588

2239 N School St
Honolulu, HI 96819-2539
Phone (808) 791-9400

3659 Kalihi St
Honolulu, HI 96819-3038
Phone (808) 791-9400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS-1778HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalihi Palama Health Center CurrentSince Sep 16, 2017 Accepting new patients
Kalihi Palama Health Center CurrentSince Sep 16, 2017 Accepting new patients
Waikiki Health CurrentSince Aug 1, 2019 Accepting new patients
Waikiki Health Current Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Nov 18, 2019 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Nov 18, 2019 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services Past Accepting new patients
National House Call Practitioners Family Medicine PastSince Jan 1, 2012 Accepting new patients
DHHS IHS Phoenix Area Past Accepting new patients
Melissa a. McKinney, D.O., P.L.L.C. PastSince May 27, 2005 Accepting new patients
House Call Doctors Texas PLLC Family Medicine Past Accepting new patients

Locations

2239 N School St
Honolulu, HI 96819
Phone (808) 791-9400

277 Ohua Ave
Honolulu, HI 96815
Phone (808) 922-4787

845 22nd Ave
#5
Honolulu, HI 96816
Phone (808) 734-2034

915 N King St
Honolulu, HI 96817
Phone (808) 848-1438

Networks

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

Organizations & group practices 11

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.

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124112123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HOBRON LN APT 1601",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151203",
            "telephone_number": "971-804-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174544",
            "telephone_number": "808-848-1438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 McKinnon St",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752011044",
            "country_code": "US",
            "telephone_number": "214-754-8700 x335",
            "fax_number": "469-893-1938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "MELISSA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-1778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "PERRINE",
            "middle_name": "A",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.