NPIMap

Organization Active NPI

Sleep Center Hawaii LLC

  • Sleep Disorder Diagnostic Clinic/Center
  • Aiea, HI
National Provider Identifier
1154592772
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
MD13641 Issued in HI
Legal business name
SLEEP CENTER HAWAII LLC
Practice address
99-128 Aiea Heights Dr Ste 101
Aiea, HI 96701-3916
Phone
(808) 456-7378
Fax
(808) 483-8822
NPI assigned
Mar 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Authorized official

Name
Divina Mesa, RPSGT
Title
General Manager
Phone
(671) 647-6669

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RS0012X MD13641 HI
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD13641 HI
Sleep Disorder Diagnostic Clinic/Center 261QS1200X MD13641 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr Ste 101
Aiea, HI 96701-3916

Mailing address

99-128 Aiea Heights Dr Ste 101
Aiea, HI 96701-3916
Phone (808) 456-7378

Other practice location 1

75-167 Kalani St Ste 205
Kailua Kona, HI 96740-1800
Phone (808) 327-6669

Other practice location 2

56 Kamehameha Ave
Hilo, HI 96720-2831
Phone (808) 969-7378

Other identifiers 1

IdentifierTypeStateIssuer
HI012AOtherHIMEDICARE

Other names 1

  • Hawaii Sleep Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130710000129 HI Part B Supplier - Clinic/Group Practice 8022189612 Receives reassigned benefits from 7 practitioners
Practice locations: Aiea, HI
O20190711001820 HI DME Supplier - Medical Supply Company 8022189612 Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Locations

99-128 Aiea Heights Dr
Ste 101
Aiea, HI 96701
Phone (808) 456-7378

1188 Bishop St
Ste 251112
Honolulu, HI 96813
Phone (808) 670-8244

1188 Bishop St
Ste 2511
Honolulu, HI 96813
Phone (808) 521-5511

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJCHAA

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1206230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595894400000",
    "number": "1154592772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 101",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013916",
            "telephone_number": "808-456-7378",
            "fax_number": "808-483-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR STE 101",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967013916",
            "telephone_number": "808-456-7378",
            "fax_number": "808-483-8822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-167 Kalani St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967401800",
            "country_code": "US",
            "telephone_number": "808-327-6669",
            "fax_number": "808-327-4506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "56 Kamehameha Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202831",
            "country_code": "US",
            "telephone_number": "808-969-7378",
            "fax_number": "808-969-8189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SLEEP CENTER HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-23",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A",
        "authorized_official_last_name": "MESA",
        "authorized_official_first_name": "DIVINA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "671-647-6669",
        "authorized_official_credential": "RPSGT"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "HI",
            "license": "MD13641",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "HI",
            "license": "MD13641",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "HI",
            "license": "MD13641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HI012A",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Sleep Center",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Hawaii Sleep Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2020; 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.