Chad Imanaka, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-22393 Issued in HI

Practice address

Psychiatry Residency Program
1356 Lusitana Street, 4TH Floor
Honolulu, HI 96813-1030

Phone

(808) 895-7948

NPI assigned

May 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Psychiatry

Education

University of Hawaii John a. Burns School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Jason R Keifer MD PC LLCGroup PAC ID 5193864270, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

Interoperability endpoints

• Direct secure messaging: chad.imanaka.1@32039.direct.athenahealth.com

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.

• Jason R. Keifer, M.D., P.C., LLC

  dba Brain Health Hawaii

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1558509794
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1134619729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BRAIN HEALTH HAWAII",
            "address_2": "4211 WAIALAE AVE SUITE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968161030",
            "telephone_number": "808-554-5688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PSYCHIATRY RESIDENCY PROGRAM",
            "address_2": "1356 LUSITANA STREET, 4TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968131030",
            "telephone_number": "808-895-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMANAKA",
        "first_name": "CHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-22393",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MDR-7528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Satomi Imai
• Taryne Allyson Imai, MD
• Carly Imaino
• Lynn Kikuno Imamura-Lum, CCC-SLP
• Taichi Imamura, MD
• Russell R. Imanaka, DDS
• Sharon M Imanaka, CCC-SLP
• Yuri Imanishi, M.D.
• Imhotep and Asclepius, LLC
• Imi Ola Psychiatry LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.