Individual provider Active NPI

Jinichi Tokeshi, MD

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1265451405
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3210 Issued in HI
Practice address
405 N Kuakini St
Suite 707
Honolulu, HI 96817-6300
Phone
(808) 536-3267
Fax
(808) 536-3947
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3210 HI Primary

Addresses

Primary practice location

405 N Kuakini St
Suite 707
Honolulu, HI 96817-6300

Mailing address

405 N Kuakini St
Suite 707
Honolulu, HI 96817-6300
Phone (808) 536-3267

Other identifiers 3

IdentifierTypeStateIssuer
03940101MedicaidHI
043208OtherHIHMSA BCBS
MD3210OtherHIQUEENS HEALTHCARE

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
I20051020000152 HI Practitioner - Family PracticePractitioner - Geriatric Medicine 9133145014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 N Kuakini St
Suite 707
Honolulu, HI 96817-6302
Phone (808) 536-3267

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions142
Removal of nail tissue63
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3210HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jinichi Tokeshi, M.D., Inc. Family Medicine CurrentSince Nov 1, 2007 Accepting new patients
Eye Care International, Inc. Past Accepting new patients

Locations

405 N Kuakini St
Ste 707
Honolulu, HI 96817
Phone (808) 536-3267

Interoperability endpoints

  • Direct secure messaging: jinichi.tokeshi@33717667102724.direct.elationemr.com

Organizations & group practices 2

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 9

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1265451405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 707",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-536-3267",
            "fax_number": "808-536-3947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 707",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-536-3267",
            "fax_number": "808-536-3947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOKESHI",
        "first_name": "JINICHI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "3210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03940101",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BCBS",
            "identifier": "043208",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS HEALTHCARE",
            "identifier": "MD3210",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.