Individual provider Active NPI

David Y Nakamura, MD

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1194887067
Registry record updated Sep 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H10347 Issued in HI
Practice address
670 Ponahawai St
Ste 216 Hilo Family Medicine
Hilo, HI 96720-2660
Phone
(808) 934-8989
Fax
(808) 934-8990
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X H10347 HI Primary

Addresses

Primary practice location

670 Ponahawai St
Ste 216 Hilo Family Medicine
Hilo, HI 96720-2660

Mailing address

670 Ponahawai St
Ste 216 Hilo Family Medicine
Hilo, HI 96720-2660
Phone (808) 934-8989

Other identifiers 3

IdentifierTypeStateIssuer
0000216192OtherHI MEDICAL SVC ASSOC
252350MedicaidHI
H55640OtherNORIDIAN MEDICARE PTAN

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
I20090227000040 HI Practitioner - Family Practice 6204727985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loma Linda University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Y Nakamura M D IncGroup PAC ID 6406747187, 2 clinicians

Practice addresses (Care Compare)

670 Ponahawai St
Suite 216
Hilo, HI 96720-7829
Phone (808) 934-8989

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Hilo, HI, CCN 127312
  • Dba Hawai'I Care Choices Hospice, Hilo, HI, CCN 121503
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Life Care Center of Hilo Nursing home, Hilo, HI, CCN 125040

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H10347HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David Y Nakamura M D Inc Family Medicine CurrentSince Sep 1, 2003 Accepting new patients

Locations

670 Ponahawai St
Ste 216
Hilo, HI 96720
Phone (808) 934-8989

Interoperability endpoints

  • Direct secure messaging: david.nakamura@26798781693956.direct.elationemr.com
  • Direct secure messaging: dnakamura29750@hhsc.direct-ci.com
  • Direct secure messaging: david.nakamura@hawaiihie.medicity.net

Organizations & group practices 1

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 5

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1194887067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST",
            "address_2": "STE 216 HILO FAMILY MEDICINE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-934-8989",
            "fax_number": "808-934-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST",
            "address_2": "STE 216 HILO FAMILY MEDICINE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-934-8989",
            "fax_number": "808-934-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "DAVID",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "H10347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HI MEDICAL SVC ASSOC",
            "identifier": "0000216192",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252350",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN MEDICARE PTAN",
            "identifier": "H55640",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.