Individual provider Active NPI

Stuart S Nakamoto, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1245348747
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-9568 Issued in HI
Practice address
321 N Kuakini St Ste 805
Honolulu, HI 96817-2362
Phone
(808) 536-1312
Fax
(808) 536-1201
NPI assigned
Aug 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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 MD-9568 HI Primary

Addresses

Primary practice location

321 N Kuakini St Ste 805
Honolulu, HI 96817-2362

Mailing address

321 N Kuakini St Ste 805
Honolulu, HI 96817-2362
Phone (808) 536-1312

Other identifiers 1

IdentifierTypeStateIssuer
07899001MedicaidHI

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
I20100924001116 HI Practitioner - Internal Medicine 8123919818 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1380 Lusitana St
Honolulu, HI 96813-2448

377 Keahole St
Suite 108
Honolulu, HI 96825-3405
Phone (808) 691-8200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Nov 29, 2021 Accepting new patients
Queen's Development Corporation & Subsidiaries Current Accepting new patients
The Queen's Medical Center CurrentSince Nov 29, 2021 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
Queen's Development Corporation CurrentSince May 1, 2018 Accepting new patients
Queen's Development Corporation & Subsidiaries CurrentSince May 1, 2018 Accepting new patients

Locations

377 Keahole St
Ste E108
Honolulu, HI 96825
Phone (808) 396-6875

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1380 Lusitana St
Ste 804
Honolulu, HI 96813
Phone (808) 524-3020

377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427

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

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Interoperability endpoints

  • Direct secure messaging: stuart.nakamoto@hawaiihie.medicity.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1245348747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172362",
            "telephone_number": "808-536-1312",
            "fax_number": "808-536-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172362",
            "telephone_number": "808-536-1312",
            "fax_number": "808-536-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMOTO",
        "first_name": "STUART",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-9568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07899001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.