Individual provider Active NPI

Susan S Hiraoka, DPM LLC

  • Podiatrist
  • Kailua, HI
National Provider Identifier
1235164062
Registry record updated Mar 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-155 Issued in HI
Practice address
642 Ulukahiki St Ste 207
Kailua, HI 96734-4439
Phone
(808) 261-9931
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO-155 HI Primary

Addresses

Primary practice location

642 Ulukahiki St Ste 207
Kailua, HI 96734-4439

Mailing address

642 Ulukahiki St Ste 207
Kailua, HI 96734-4439
Phone (808) 261-9931

Other identifiers 2

IdentifierTypeStateIssuer
501074 01MedicaidHI
0230664OtherHIHMSA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415000036 HI Practitioner - Podiatry 4688669245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

642 Ulukahiki St
Suite 207
Kailua, HI 96734-4439

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue257
Removal of nail tissue29
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Susan S. Hiraoka, DPM, LLC CurrentSince Jan 1, 2002 Accepting new patients
Gregory B Morris DPM LLC Podiatrist PastSince Jul 28, 2008 Accepting new patients
Podiatry Hawaii LLC Podiatrist PastSince Sep 27, 2016 Accepting new patients
Karen C. Yamaguchi, DPM, LLC PastSince May 1, 2018 Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

550 S Beretania St
Ste 403
Honolulu, HI 96813
Phone (808) 523-5033

642 Ulukahiki St
Ste 207
Kailua, HI 96734
Phone (808) 261-9931

Networks

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

Interoperability endpoints

  • Direct secure messaging: susan.hiraoka@53930732879876.direct.elationemr.com

Organizations & group practices 4

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 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236643200000",
    "number": "1235164062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 207",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344439",
            "telephone_number": "808-261-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 207",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344439",
            "telephone_number": "808-261-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRAOKA",
        "first_name": "SUSAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPM LLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2009-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "PO-155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "501074 01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0230664",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.