Individual provider Active NPI

Cole Nishikawa, MD

  • Vascular Surgery Physician
  • Honolulu, HI
National Provider Identifier
1245611912
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
20965 Issued in HI
Practice address
347 N Kuakini St
Honolulu, HI 96817-2306
Phone
(808) 547-9105
Fax
(808) 547-9154
NPI assigned
Jun 17, 2015
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Vascular Surgery Physician 2086S0129X 20965 HI Primary

Addresses

Primary practice location

347 N Kuakini St
Honolulu, HI 96817-2306

Mailing address

347 N Kuakini St
Honolulu, HI 96817-2306
Phone (808) 547-9105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200413001230 HI Practitioner - Vascular Surgery 5496184582 Reassigns benefits to 3 organizations
I20251010003432 CA Practitioner - Vascular Surgery 5496184582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Permanente Medical Group IncGroup PAC ID 7618880667, 705 clinicians

Practice addresses (Care Compare)

1860 Pennsylvania Ave
Suite 120
Fairfield, CA 94533-3550
Phone (707) 646-4400

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)22
Removal of tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20965HIMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Wound Care Group LLC CurrentSince Jun 1, 2020 Accepting new patients
Pacific Vascular Associates, LLC Vascular Surgery CurrentSince Jun 15, 2020 Accepting new patients
Russell N Harada MD Inc CurrentSince Jun 1, 2020 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Sep 22, 2025 Accepting new patients
Pacific Vascular Institute-Kona CurrentSince Nov 1, 2020 Accepting new patients
Northbay Healthcare Group CurrentSince Sep 23, 2025 Accepting new patients
Northbay Healthcare Group CurrentSince Sep 23, 2025 Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1860 Pennsylvania Ave
Ste 120
Fairfield, CA 94533
Phone (707) 426-4696

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

98-1079 Moanalua Rd
Ste 620
Aiea, HI 96701
Phone (808) 486-0429

99-115 Aiea Heights Dr
Ste 246
Aiea, HI 96701
Phone (808) 384-3050

99-115 Aiea Heights Dr
Ste 276
Aiea, HI 96701
Phone (808) 486-7775

99-115 Aiea Heights Dr
Ste 276B
Aiea, HI 96701
Phone (352) 870-7393

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

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 432-8000

347 N Kuakini St
Honolulu, HI 96817
Phone (808) 536-2236

405 N Kuakini St
Ste 1107
Honolulu, HI 96817
Phone (808) 521-9154

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

75-170 Hualalai Rd
Ste D216A
Kailua Kona, HI 96740
Phone (808) 313-8338

75-184 Hualalai Rd
Ste 100-101
Kailua Kona, HI 96740
Phone (805) 975-7463

71 Kanoa St
#2
Wailuku, HI 96793

Organizations & group practices 8

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 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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1245611912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172306",
            "telephone_number": "808-547-9105",
            "fax_number": "808-547-9154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172306",
            "telephone_number": "808-547-9105",
            "fax_number": "808-547-9154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIKAWA",
        "first_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-17",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "HI",
            "license": "20965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.