Individual provider Active NPI

Omid Jarrahi Hozumi, M.D.

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1215145545
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
0101268036 Issued in VA
Practice address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone
(808) 547-4352
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101268036 VA Primary
Anesthesiology Physician 207L00000X 233110 NY

Addresses

Primary practice location

1301 Punchbowl St
Honolulu, HI 96813-2402

Mailing address

42 Norfolk Dr E
Elmont, NY 11003-4812
Phone (813) 523-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, WV, NY, VI, NC, VA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20130102000425 HI Practitioner - Anesthesiology 5698928471 Reassigns benefits to 1 organization
I20130730000965 WV Practitioner - Anesthesiology 5698928471
I20171005001479 NY Practitioner - Anesthesiology 5698928471 Reassigns benefits to 1 organization
I20200709001811 VI Practitioner - Anesthesiology 5698928471 Reassigns benefits to 1 organization
I20200914002307 NC Practitioner - Anesthesiology 5698928471 Reassigns benefits to 1 organization
I20260624000925 VA Practitioner - Anesthesiology 5698928471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Premier Anesthesia of Virginia LLCGroup PAC ID 1951722362, 48 clinicians
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians

Practice addresses (Care Compare)

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone (434) 517-3100

566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone (252) 438-4143

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233110NYMDAnesthesiology Physician
0101268036VAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Professional Anesthesia LLC Anesthesiology CurrentSince Aug 3, 2020 Accepting new patients
Hilo Benioff Medical Center Anesthesiology CurrentSince May 7, 2024 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 26, 2020 Accepting new patients
New York University Anesthesiology CurrentSince Aug 29, 2017 Accepting new patients
New York University CurrentSince Aug 29, 2017 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Sep 1, 2020 Accepting new patients
New York University Anesthesiology Current Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Jun 26, 2020 Accepting new patients
California Anesthesia Specialist AMC Anesthesiology Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

82 Puuhonu Pl
Ste 100
Hilo, HI 96720
Phone (808) 937-2001

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

530 1st Ave
New York, NY 10016
Phone (212) 263-7216

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

Organizations & group practices 10

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 3

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1215145545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NORFOLK DR E",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110034812",
            "telephone_number": "813-523-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-547-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOZUMI",
        "first_name": "OMID",
        "middle_name": "JARRAHI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101268036",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "233110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.