Organization Active NPI

Hawaii Pulmonary Health Center, LLC

  • Pulmonary Disease Physician
  • Kailua, HI
National Provider Identifier
1265805303
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
17783 Issued in HI
Legal business name
HAWAII PULMONARY HEALTH CENTER, LLC
Practice address
642 Ulukahiki St
Suite #103
Kailua, HI 96734-4400
Phone
(808) 263-5174
NPI assigned
Nov 12, 2015
Last updated
Feb 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Dr. Takkin Lo, MDNPI 1942221742
Title
Owner
Phone
(808) 263-5174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 17783 HI Primary

Addresses

Primary practice location

642 Ulukahiki St
Suite #103
Kailua, HI 96734-4400

Mailing address

642 Ulukahiki St
Suite #103
Kailua, HI 96734-4400
Phone (808) 263-5174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160301000631 HI Part B Supplier - Clinic/Group Practice 6507161502 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

841 Bishop St
Ste 2201
Honolulu, HI 96813
Phone (808) 818-3959

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1265805303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST",
            "address_2": "SUITE #103",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344400",
            "telephone_number": "808-263-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST",
            "address_2": "SUITE #103",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344400",
            "telephone_number": "808-263-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII PULMONARY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "TAKKIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-263-5174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "17783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.