Individual provider Active NPI

Jamalah Adeeba Munir, MD

  • Interventional Cardiology Physician
  • Kailua, HI
National Provider Identifier
1235127259
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD-12905 Issued in HI
Practice address
642 Ulukahiki St
Kailua, HI 96734-4400
Phone
(808) 263-5174
NPI assigned
Oct 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD-12905 HI
Interventional Cardiology Physician 207RI0011X MD-12905 HI Primary
Internal Medicine Physician 207R00000X MD-12905 HI

Addresses

Primary practice location

642 Ulukahiki St
Kailua, HI 96734-4400

Mailing address

642 Ulukahiki St Ste 103
Kailua, HI 96734-4418
Phone (808) 263-5174

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
I20191003000650 HI Practitioner - Cardiovascular Disease (Cardiology) 9739301565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Temple University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Castle Medical CenterGroup PAC ID 6608762778, 77 clinicians

Practice addresses (Care Compare)

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5142

Hospital & facility affiliations

  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019
  • Kahuku Medical Center Hospital, Kahuku, HI, CCN 121304

Merit-based Incentive Payment System (MIPS)

Final score
84 of 100Reported as group
Quality
84.73
Promoting interoperability
89
Improvement activities
40
Cost
71.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-12905HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Medical Center CurrentSince Sep 4, 2019 Accepting new patients
Castle Medical Center CurrentSince Sep 4, 2019 Accepting new patients
Ekahi Wellness, LLC Past Accepting new patients

Locations

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

642 Ulukahiki St
Ste 103
Kailua, HI 96734
Phone (808) 263-5009

642 Ulukahiki St
Kailua, HI 96734
Phone (808) 263-5050

55-510 Kamehameha Hwy
Ste 5
Laie, HI 96762
Phone (808) 263-5011

Networks

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

Organizations & group practices 3

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 4

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574640000000",
    "number": "1235127259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 103",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344418",
            "telephone_number": "808-263-5174",
            "fax_number": "808-266-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344400",
            "telephone_number": "808-263-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNIR",
        "first_name": "JAMALAH",
        "middle_name": "ADEEBA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2019-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD-12905",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "MD-12905",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-12905",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.