Organization Active NPI

Hawaii Kai Health Care LLC

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1235979659
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HAWAII KAI HEALTH CARE LLC
Practice address
6700 Kalanianaole Hwy Ste 106
Honolulu, HI 96825-1278
Phone
(808) 751-7193
Fax
(808) 451-2060
NPI assigned
May 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Thomas James NordykeNPI 1992878698
Title
MD
Phone
(808) 751-7193

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

6700 Kalanianaole Hwy Ste 106
Honolulu, HI 96825-1278

Mailing address

6700 Kalanianaole Hwy Ste 106
Honolulu, HI 96825-1278
Phone (808) 751-7193

Other names 2

  • Hawaii Kai Health Care Doing business as
  • Thomas Nordyke, MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106001540 HI Part B Supplier - Clinic/Group Practice 6608300199 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1235979659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KALANIANAOLE HWY STE 106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251278",
            "telephone_number": "808-751-7193",
            "fax_number": "808-451-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KALANIANAOLE HWY STE 106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251278",
            "telephone_number": "808-751-7193",
            "fax_number": "808-451-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII KAI HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "NORDYKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "808-751-7193"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Kai Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomas Nordyke, MD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thomas Nordyke, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.