NPIMap

Organization Active NPI

Kuakini Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
National Provider Identifier
1215939335
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
13-H Issued in HI
Legal business name
KUAKINI MEDICAL CENTER
Practice address
347 N Kuakini St
Honolulu, HI 96817-2306
Phone
(808) 536-2236
Fax
(808) 547-9547
NPI assigned
Jun 1, 2005
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Mr. Gary K Kajiwara
Title
President and Ceo
Phone
(808) 547-9231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 13-H HI Primary

Addresses

Primary practice location

347 N Kuakini St
Honolulu, HI 96817-2306

Mailing address

347 N Kuakini St
Honolulu, HI 96817-2306
Phone (808) 547-9231

Other identifiers 2

IdentifierTypeStateIssuer
519572MedicaidHI
12-0007OtherHIMEDICARE ID - TYPE UNSPECIFIED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101118000406 HI Part A Provider - Hospital 4981593910 Practice locations: Honolulu, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215939335. Details of each certification follow.

Hospital certification: CCN 120007

Legal name
KUAKINI MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 17, 2005
Beds
212
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Oct 30, 1899 in HI
Enrollment address
347 N Kuakini St
Honolulu, HI 96817-2336
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Kuakini Medical CenterCCN 120007 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Kuakini Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

347 N Kuakini St
#9
Honolulu, HI 96817
Phone (808) 523-8461

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9b1379b7-10bf-4227-b712-fc713ef35c39/

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Gregg Y Oishi Individual Corporate OfficerSr. VP, Coo Oct 1, 2000
Operational/Managerial ControlSr VP, Coo Oct 1, 2000
Kuakini Medical Center Organization, Honolulu, HI Non-profit Operational/Managerial Control Aug 26, 2010
Gary K Kajiwara Individual Corporate Director Aug 26, 2010
W-2 Managing Employee Aug 26, 2010

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 286

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 286

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1215939335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172306",
            "telephone_number": "808-547-9231",
            "fax_number": "808-547-9547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172306",
            "telephone_number": "808-536-2236",
            "fax_number": "808-547-9547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUAKINI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "KAJIWARA",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "808-547-9231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "HI",
            "license": "13-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "519572",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID - TYPE UNSPECIFIED",
            "identifier": "12-0007",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.