Jon Nakamura Nakamura, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD6950 Issued in HI

Practice address

4374 Kukui Grove St
Suite # 102
Lihue, HI 96766-2007

Phone

(808) 246-6253

Fax

(808) 245-7215

NPI assigned

Apr 4, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Psychiatry

Education

Loma Linda University School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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.

• Jon W. Nakamura, M.D., Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lihue, HI
  • NPI 1457785602
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215059704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 KUKUI GROVE ST",
            "address_2": "SUITE # 102",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662007",
            "telephone_number": "808-246-6253",
            "fax_number": "808-245-7215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4374 KUKUI GROVE ST",
            "address_2": "SUITE # 102",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662007",
            "telephone_number": "808-246-6253",
            "fax_number": "808-245-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "JON",
        "middle_name": "NAKAMURA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD6950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PIN",
            "identifier": "F59153",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07258801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA PIN",
            "identifier": "00009",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PIN",
            "identifier": "00K094421",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PIN",
            "identifier": "99033012096766A002",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Naaykens
• Tyler Ikaika Chiyoto Nagao, DC
• Sandra Naihe, MED
• Angela Nakahara
• Eric Nakamoto, RBT
• Lynsi Nakamura
• Steve T Nakamura, PT
• Sharon Leiko Nakasone, M.S.W.
• Crystal Nelson
• Harold Roger Netzer, M.D.

• Psychiatry Physician in Lihue, HI
• Providers in Lihue, HI by specialty
• Psychiatry Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.