Individual provider Active NPI

Wendell K. S. Foo, M.D.

  • Anesthesiology Physician
  • Wahiawa, HI
National Provider Identifier
1164457511
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-4923 Issued in HI
Practice address
606 Kilani Ave
Wahiawa, HI 96786-1904
Phone
(808) 621-8448
Fax
(808) 621-2082
NPI assigned
Jul 12, 2006
Last updated
Sep 1, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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-4923 HI Primary

Addresses

Primary practice location

606 Kilani Ave
Wahiawa, HI 96786-1904

Mailing address

4348 Waialae Ave 5-311
Honolulu, HI 96816-5767
Phone (808) 373-4007

Other identifiers 5

IdentifierTypeStateIssuer
191559/01OtherHIHMA/SUMMERLIN PROV. #
025354-01MedicaidHI
2821-7OtherHIBLUE CROSS/SHIELD PROV. #
2821-7OtherHIHMSA PROV. # - HI
H0000BDNKQOtherHIMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100303000092 HI Practitioner - Anesthesiology 7810032877 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI; Wahiawa, HI

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaiian Eye Center Inc Current Accepting new patients
Pec Anesthesia LLC CurrentSince Apr 15, 2024 Accepting new patients
Hawaiian Eye Center Inc Current Accepting new patients
Honolulu Surgery Center LP Past Accepting new patients

Locations

1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700

2226 Liliha St
Ste 307
Honolulu, HI 96817
Phone (808) 531-5823

1029 Makolu St
Ste H
Pearl City, HI 96782
Phone (808) 456-6420

606 Kilani Ave
Wahiawa, HI 96786
Phone (808) 621-8448

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1164457511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 WAIALAE AVE 5-311",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165767",
            "telephone_number": "808-373-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 KILANI AVE",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967861904",
            "telephone_number": "808-621-8448",
            "fax_number": "808-621-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOO",
        "first_name": "WENDELL",
        "middle_name": "K. S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD-4923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA/SUMMERLIN PROV. #",
            "identifier": "191559/01",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025354-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD PROV. #",
            "identifier": "2821-7",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROV. # - HI",
            "identifier": "2821-7",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "H0000BDNKQ",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

Verify at the official NPI Registry.