Raine Fukuda Urology, LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

15080 Issued in HI

Legal business name

RAINE FUKUDA UROLOGY, LLC

Practice address

1712 Liliha St.
Suite 302
Honolulu, HI 96817-3100

Phone

(808) 521-8288

Fax

(808) 526-0069

NPI assigned

May 25, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Raine Gay Fukuda, M.D.NPI 1659552925

Title

Member

Phone

(808) 521-8288

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raine Gay Fukuda, M.D.

  • Urology Physician
  • Honolulu, HI
  • NPI 1659552925
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284940800000",
    "number": "1124253810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST.",
            "address_2": "SUITE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173100",
            "telephone_number": "808-521-8288",
            "fax_number": "808-526-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LILIHA ST.",
            "address_2": "SUITE 302",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173100",
            "telephone_number": "808-521-8288",
            "fax_number": "808-526-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINE FUKUDA UROLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-25",
        "last_updated": "2010-09-20",
        "status": "A",
        "authorized_official_last_name": "FUKUDA",
        "authorized_official_first_name": "RAINE",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-521-8288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": "HI",
            "license": "MD-15080",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Urology",
            "state": "HI",
            "license": "15080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nisheeth Rai, D.O.
• Bharathi M. Raidoo, MD
• Shandhini Raidoo, M.D.
• Rainbow Dialysis LLC
• Rainbow Physical Therapy
• Allison L. Raines, DO
• Stephanie Leann Raines, NCC
• Michelle Rainey
• Margaret Rains
• Rajinder Raju

• Urology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Urology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.