Individual provider Active NPI

Hidemi Dela Cruz, FNP-BC

  • Family Nurse Practitioner
  • Honolulu, HI
National Provider Identifier
1184281677
Registry record updated May 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2675 Issued in HI
Practice address
2155 Kalakaua Ave Ste 308
Honolulu, HI 96815-2354
Phone
(808) 924-3399
NPI assigned
May 21, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 2675 HI Primary

Addresses

Primary practice location

2155 Kalakaua Ave Ste 308
Honolulu, HI 96815-2354

Mailing address

94-423 Hokuili Street
Mililani, HI 96789
Phone (808) 723-4157

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190731002332 HI Practitioner - Nurse Practitioner 0244566081 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Miki Medical Associates IncGroup PAC ID 7810888492, 2 clinicians

Practice addresses (Care Compare)

405 N Kuakini St
Suite 1004
Honolulu, HI 96817-6301
Phone (808) 521-5220

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2675HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Clinic of Waikiki, LLC Single Specialty CurrentSince Jun 24, 2019 Accepting new patients
Miki Medical Associates, Inc Single Specialty CurrentSince Jul 7, 2019 Accepting new patients
Sung S. Yang, MD, Inc. Single Specialty CurrentSince Jun 24, 2019 Accepting new patients

Locations

2155 Kalakaua Ave
Ste 308
Honolulu, HI 96815
Phone (808) 342-6305

405 N Kuakini St
Ste 1004
Honolulu, HI 96817
Phone (808) 521-5220

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Interoperability endpoints

  • Direct secure messaging: hidemi.delacruz@44699393982468.direct.elationemr.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558396800000",
    "number": "1184281677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-423 HOKUILI STREET",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "96789",
            "telephone_number": "808-723-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 KALAKAUA AVE STE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152354",
            "telephone_number": "808-924-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "HIDEMI",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2019-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "HI",
            "license": "2675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.