Individual provider Active NPI

Miki Shirakawa Garcia, M.D.

  • Dermatology Physician
  • Honolulu, HI
National Provider Identifier
1265632194
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD-16031 Issued in HI
Practice address
1329 Lusitana St
Suite 109
Honolulu, HI 96813-2429
Phone
(808) 536-9888
Fax
(808) 585-8450
NPI assigned
Jul 19, 2007
Last updated
Jun 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A96590 CA
Dermatology Physician 207N00000X MD-16031 HI Primary

Addresses

Primary practice location

1329 Lusitana St
Suite 109
Honolulu, HI 96813-2429

Mailing address

1329 Lusitana St
Suite 109
Honolulu, HI 96813-2429
Phone (808) 536-9888

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
I20110721000236 HI Practitioner - Dermatology 2860516101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Hawaii John a. Burns School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oahu Dermatology LLCGroup PAC ID 1759501299, 3 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Suite 109
Honolulu, HI 96813-2401
Phone (808) 536-9888

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions465
Removal or shaving of skin growth56
Skin biopsy77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-16031HIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oahu Dermatology LLC CurrentSince Oct 1, 2014 Accepting new patients

Locations

1329 Lusitana St
Ste 109
Honolulu, HI 96813
Phone (808) 531-3311

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1265632194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 109",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-536-9888",
            "fax_number": "808-585-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 109",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-536-9888",
            "fax_number": "808-585-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "MIKI",
        "middle_name": "SHIRAKAWA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A96590",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "MD-16031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.