NPIMap

Individual provider Active NPI

Laura D. Peterson, M.D.

  • Surgery Physician
  • Honolulu, HI
National Provider Identifier
1255400370
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-12588 Issued in HI
Practice address
1907 S Beretania St
Suite 501
Honolulu, HI 96826-1301
Phone
(808) 949-3444
Fax
(808) 949-7808
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-12588 HI Primary

Addresses

Primary practice location

1907 S Beretania St
Suite 501
Honolulu, HI 96826-1301

Mailing address

1907 S Beretania St
Suite 501
Honolulu, HI 96826-1301
Phone (808) 949-3444

Other identifiers 3

IdentifierTypeStateIssuer
0000250324OtherHIHMSA
3226444OtherHIUHA
559479MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050204000772 HI Practitioner - General Surgery 5698665909 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, San Diego School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kapiolani Medical SpecialistsGroup PAC ID 0648183988, 103 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

Hospital & facility affiliations

  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
74.46
Promoting interoperability
97
Improvement activities
40
Cost
73.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy76
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-12588HIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince Jun 21, 2015 Accepting new patients
Straub Clinic & Hospital CurrentSince Jan 1, 2005 Accepting new patients
Straub Clinic & Hospital CurrentSince Jan 1, 2005 Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1907 S Beretania St
Ste 501
Honolulu, HI 96826
Phone (808) 949-3444

Organizations & group practices 3

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 5

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1255400370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S BERETANIA ST",
            "address_2": "SUITE 501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261301",
            "telephone_number": "808-949-3444",
            "fax_number": "808-949-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S BERETANIA ST",
            "address_2": "SUITE 501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261301",
            "telephone_number": "808-949-3444",
            "fax_number": "808-949-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "LAURA",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD-12588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000250324",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "3226444",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "559479",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.