Individual provider Active NPI

Orn-USA Boonprakong, M.D.

  • Emergency Medicine Physician
  • Honolulu, HI
National Provider Identifier
1164513917
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME172116 Issued in FL
Practice address
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone
(808) 432-0000
NPI assigned
Sep 27, 2006
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101284393 VA
Emergency Medicine Physician 207P00000X 78787 MN
Emergency Medicine Physician 207P00000X MD-13271 HI
Emergency Medicine Physician 207P00000X ME172116 FL Primary

Addresses

Primary practice location

3288 Moanalua Rd
Honolulu, HI 96819-1469

Mailing address

52 Underwood St
Orlando, FL 32806-1110
Phone (888) 805-0085

Other practice location 1

1401 Roosevelt Ave
York, PA 17404-2244
Phone (877) 232-5807

Other practice location 2

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (651) 241-9700

Other practice location 3

52 underwood st
orlando, FL 32806-1110
Phone (888) 805-0085

Other practice location 4

1300 Sentara Park # 3
Virginia Beach, VA 23464-5884
Phone (757) 252-3050

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, PA, MN, LA, MS, FL, CA, IN8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20050722000638 HI Practitioner - Emergency Medicine 7012944861 Reassigns benefits to 2 organizations
I20250827001431 PA Practitioner - Emergency Medicine 7012944861 Reassigns benefits to 1 organization
I20250915001555 MN Practitioner - Emergency Medicine 7012944861 Reassigns benefits to 2 organizations
I20260118000073 LA Practitioner - Emergency Medicine 7012944861 Reassigns benefits to 1 organization
I20260217000547 MS Practitioner - Emergency Medicine 7012944861 Reassigns benefits to 1 organization
I20260227003778 FL Practitioner - Emergency Medicine 7012944861 Reassigns benefits to 1 organization
I20260323001103 CA Practitioner - Emergency Medicine 7012944861 Reassigns benefits to 2 organizations
I20260428000684 IN Practitioner - Emergency Medicine 7012944861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Centracare ClinicGroup PAC ID 2466363395, 800 clinicians
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Svmhs ClinicsGroup PAC ID 1456592351, 258 clinicians

Practice addresses (Care Compare)

Honolulu, HI 96821
Phone (509) 662-1511

1401 Roosevelt Ave
York, PA 17404-2244
Phone (717) 356-5198

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1900 Centracare Cir
Saint Cloud, MN 56303-5000
Phone (320) 252-2422

25 Monument Rd
York, PA 17403-5073

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (612) 863-4000

355 Abbott St
Suite 100
Salinas, CA 93901-4484
Phone (831) 751-7070

4015 Gateway Blvd
Suite 2120
Newburgh, IN 47630-9460
Phone (812) 842-2737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME172116FLMDEmergency Medicine Physician
0101284393VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Dec 31, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Sep 22, 2025 Accepting new patients
Allina Health System CurrentSince Sep 15, 2025 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jan 10, 2026 Accepting new patients
Ochsner Mississippi, LLC CurrentSince Jan 10, 2026 Accepting new patients
Allina Health System Current Accepting new patients
Orlando Health Medical Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Mar 5, 2018 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2025 Accepting new patients
Allina Health System CurrentSince Sep 15, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 31, 2025 Accepting new patients
Wellspan Medical Group CurrentSince Sep 22, 2025 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients
Sentara Medical Group Past Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients
Ozark Tri-County Health Care Consortium Past Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine PastSince Nov 1, 2012 Accepting new patients

Locations

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 432-8000

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

1514 Jefferson Hwy
New Orleans, LA 70121

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

1401 Roosevelt Ave
York, PA 17404
Phone (717) 356-6250

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

601 Memory Ln
York, PA 17402
Phone (717) 851-6670

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1164513917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 UNDERWOOD ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328061110",
            "telephone_number": "888-805-0085",
            "fax_number": "312-896-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 MOANALUA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191469",
            "telephone_number": "808-432-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Roosevelt Ave",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174042244",
            "country_code": "US",
            "telephone_number": "877-232-5807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2925 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554071321",
            "country_code": "US",
            "telephone_number": "651-241-9700",
            "fax_number": "651-241-9683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 underwood st",
            "address_purpose": "LOCATION",
            "city": "orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "888-805-0085",
            "fax_number": "312-896-7623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Sentara Park # 3",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234645884",
            "country_code": "US",
            "telephone_number": "757-252-3050",
            "fax_number": "757-222-3106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOONPRAKONG",
        "first_name": "ORN-USA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101284393",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "78787",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-13271",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME172116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3288 Moanalua Rd",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968191469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.