Individual provider Active NPI

Wayne M. Suga, MD

  • Internal Medicine Physician
  • Aiea, HI
National Provider Identifier
1245343565
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5935 Issued in HI
Practice address
98-211 Pali Momi St.
Suite 325
Aiea, HI 96701
Phone
(808) 484-5656
Fax
(808) 484-5657
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5935 HI Primary

Addresses

Primary practice location

98-211 Pali Momi St.
Suite 325
Aiea, HI 96701

Mailing address

98-211 Pali Momi St.
Suite 325
Aiea, HI 96701
Phone (808) 484-5656

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
I20080110000386 HI Practitioner - Internal MedicinePractitioner - Family Practice 2860572211 Practice locations: Pearl City, HI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Family Practice
Education
University of Southern California Keck School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

98 -1238 Kaahumanu St
Suite 304
Pearl City, HI 96782-3250
Phone (808) 484-5656

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5935HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wayne Suga, M.D. CurrentSince Jan 1, 1990 Accepting new patients

Locations

98-1238 Kaahumanu St
Ste 304
Pearl City, HI 96782
Phone (808) 484-5656

Interoperability endpoints

  • Direct secure messaging: wayne.suga@hawaiihie.medicity.net

Organizations & group practices 1

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 2

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1245343565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST.",
            "address_2": "SUITE 325",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-484-5656",
            "fax_number": "808-484-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST.",
            "address_2": "SUITE 325",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-484-5656",
            "fax_number": "808-484-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGA",
        "first_name": "WAYNE",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "5935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.