Organization Active NPI

Windward Orthopaedic Group Inc

  • Orthopaedic Surgery Physician
  • Kailua, HI
National Provider Identifier
1245209162
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WINDWARD ORTHOPAEDIC GROUP INC
Practice address
30 Aulike St
Suite 506
Kailua, HI 96734-2739
Phone
(808) 261-4658
Fax
(808) 263-2036
NPI assigned
Mar 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Jennifer M Primacio
Title
Business Manager
Phone
(808) 203-6606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X HI Primary

Addresses

Primary practice location

30 Aulike St
Suite 506
Kailua, HI 96734-2739

Mailing address

30 Aulike St Ste 201
Kailua, HI 96734-2750
Phone (808) 261-4658

Other names 1

  • Robert L Simmons, MD, Ltd, ETAL A Hawaii General Partnership Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071018000645 HI Part B Supplier - Clinic/Group Practice 9436245693 Receives reassigned benefits from 6 practitioners
Practice locations: Kailua, HI

National Provider Directory

National Provider Directory

Locations

200 Kalepa Pl
Ste 101
Kahului, HI 96732

200 Kalepa Pl
Kahului, HI 96732
Phone (808) 871-7116

30 Aulike St
#506
Kailua, HI 96734
Phone (808) 261-4658

30 Aulike St
Ste 506
Kailua, HI 96734
Phone (808) 261-4658

46-001 Kamehameha Hwy
Ste 402
Kaneohe, HI 96744
Phone (808) 235-6474

Practitioners & affiliated clinicians

Practitioners 8

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": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1245209162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST STE 201",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342750",
            "telephone_number": "808-261-4658",
            "fax_number": "808-263-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 506",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342739",
            "telephone_number": "808-261-4658",
            "fax_number": "808-263-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD ORTHOPAEDIC GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-21",
        "status": "A",
        "authorized_official_last_name": "PRIMACIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "808-203-6606"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert L Simmons, MD, Ltd, ETAL A Hawaii General Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Robert L Simmons, MD, Ltd, ETAL A Hawaii General Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.