Individual provider Active NPI

Matthew Jon Nims, MD

  • Anesthesiology Physician
  • Waipahu, HI
National Provider Identifier
1194775304
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-14163 Issued in HI
Practice address
94-1221 Ka Uka Blvd
Unit#108
Waipahu, HI 96797-6202
Phone
(808) 295-0419
Fax
(808) 627-0315
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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-14163 HI Primary

Addresses

Primary practice location

94-1221 Ka Uka Blvd
Unit#108
Waipahu, HI 96797-6202

Mailing address

94-1221 Ka Uka Blvd
Unit#108
Waipahu, HI 96797-6202
Phone (808) 295-0419

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090223000490 HI Practitioner - Anesthesiology 6507921780 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Koolau Anesthesia Group LLCGroup PAC ID 3274929724, 20 clinicians

Practice addresses (Care Compare)

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5500

Hospital & facility affiliations

  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-14163HIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Koolau Anesthesia Group, LLC Anesthesiology CurrentSince Mar 15, 2022 Accepting new patients
Matt Nims M.D. L.L.C. Anesthesiology CurrentSince Jan 1, 1990 Accepting new patients
Straub Clinic & Hospital Current Accepting new patients
Anesthesia Relief LLC Past Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

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 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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1194775304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1221 KA UKA BLVD",
            "address_2": "UNIT#108",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976202",
            "telephone_number": "808-295-0419",
            "fax_number": "808-627-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1221 KA UKA BLVD",
            "address_2": "UNIT#108",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976202",
            "telephone_number": "808-295-0419",
            "fax_number": "808-627-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIMS",
        "first_name": "MATTHEW",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD-14163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.