Active NPI
David M. Ulin, MD
- Pediatrics Physician
- Wailuku, HI
National Provider Identifier
1225119761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD-11145
- Practice address
- 55 Mauilani Pkwy
Wailuku, HI 96793-2416 - Phone
- (808) 243-6050
- NPI assigned
- Oct 18, 2006
- Last updated
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD-11145 | HI | Primary |
Addresses
Primary practice location
55 Mauilani Pkwy
Wailuku, HI 96793-2416
Mailing address
55 Mauilani Pkwy
Wailuku, HI 96793-2416
Phone (808) 243-6050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 517328-02 | Medicaid | HI | |
| 0000228676 | Other | HI | HMSA BILLING NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-11145 | HI | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192752000000",
"number": "1225119761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MAUILANI PKWY",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932416",
"telephone_number": "808-243-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAUILANI PKWY",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932416",
"telephone_number": "808-243-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULIN",
"first_name": "DAVID",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "MD-11145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "517328-02",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000228676",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.