Individual provider Active NPI

Robert K Childs, MD

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1144330952
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-3352 Issued in HI
Practice address
850 W Hind Dr Ste 102
Honolulu, HI 96821-1845
Phone
(808) 261-1121
Fax
(808) 762-8392
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD-3352 HI Primary

Addresses

Primary practice location

850 W Hind Dr Ste 102
Honolulu, HI 96821-1845

Mailing address

PO Box 240340
Honolulu, HI 96824-0340
Phone (808) 224-4850

Other practice location 1

2230 Liliha St
Honolulu, HI 96817-1646
Phone (808) 395-8383

Other identifiers 1

IdentifierTypeStateIssuer
004575MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-3352HIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M Kathryn Schaefer MD LLC CurrentSince Jan 20, 2016 Accepting new patients

Locations

850 W Hind Dr
Ste 102
Honolulu, HI 96821
Phone (808) 261-1121

Interoperability endpoints

  • Direct secure messaging: robert.childs@343103010373636.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1144330952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240340",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968240340",
            "telephone_number": "808-224-4850",
            "fax_number": "808-356-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-261-1121",
            "fax_number": "808-762-8392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 Liliha St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968171646",
            "country_code": "US",
            "telephone_number": "808-395-8383",
            "fax_number": "808-395-0143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILDS",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD-3352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004575",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.