Active NPI
Carolyn Annerud, MD
- Emergency Medicine Physician
- Honolulu, HI
National Provider Identifier
1275586927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 7649
- Practice address
- 347 N. Kuakini St
Kuakini Medical Center
Honolulu, HI 96817 - Phone
- (808) 547-9593
- Fax
- (808) 599-2714
- NPI assigned
- May 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 7649 | HI | Primary |
Addresses
Primary practice location
347 N. Kuakini St
Kuakini Medical Center
Honolulu, HI 96817
Mailing address
920 Main Street Ste 300
Kansas City, MO 64105
Phone (816) 561-1025
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49616810 | Medicaid | HI | |
| 49616809 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7649 | HI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Waikiki Health | Past | Accepting new patients | |
| Clinical Laboratories of Hawaii LLP | Past | Accepting new patients | |
| Islands Emergency Medical Service Hawaii, LLC | Past | Accepting new patients |
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.
-
- Clinical Medical Laboratory
- Ewa Beach, HI
- NPI 1134195357
-
- Emergency Medical Services (Emergency Medicine) Physician
- Honolulu, HI
- NPI 1154393353
-
- Federally Qualified Health Center (FQHC)
- Honolulu, HI
- NPI 1528359791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1275586927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 MAIN STREET STE 300",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64105",
"telephone_number": "816-561-1025",
"fax_number": "816-559-6339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 N. KUAKINI ST",
"address_2": "KUAKINI MEDICAL CENTER",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96817",
"telephone_number": "808-547-9593",
"fax_number": "808-599-2714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANNERUD",
"first_name": "CAROLYN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "HI",
"license": "7649",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49616810",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49616809",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.