NPIMap

Organization Active NPI

Cancer Center of Hawaii, LLC

Doing business as Cancer Treatment Center Hawaii

  • Radiation Oncology Clinic/Center
  • Honolulu, HI
National Provider Identifier
1285746636
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
RT0007 Issued in HI
Legal business name
CANCER CENTER OF HAWAII, LLC
Doing business as
Cancer Treatment Center Hawaii
Practice address
2226 Liliha St
Level B-2
Honolulu, HI 96817-1600
Phone
(808) 547-6881
Fax
(808) 547-6583
NPI assigned
Aug 31, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Vincent C Brown, M.D.NPI 1902885247
Title
Manager/Medical Director
Phone
(808) 547-6881

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X RT0007 HI Primary

Addresses

Primary practice location

2226 Liliha St
Level B-2
Honolulu, HI 96817-1600

Mailing address

2226 Liliha St
Level B-2
Honolulu, HI 96817-1600
Phone (808) 547-6881

Other identifiers 9

IdentifierTypeStateIssuer
Z1658OtherHIMDX
564395MedicaidHI
5673407OtherHIFIRST HEALTH
0000249045OtherHIHMSA QUEST
0000249045OtherHIHMSA HMO
55593001OtherHIALOHACARE
0000249045OtherHIHMSA HMO: HI IPA
0000249045OtherHIHMSA BASIC
000249045OtherHIHMSA 65C AND 65C PLUS

Other names 1

  • Cancer Treatment Center Hawaii Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040929001060 HI Part B Supplier - Clinic/Group Practice 4981673514 Receives reassigned benefits from 6 practitioners
Practice locations: Honolulu, HI; Aiea, HI

National Provider Directory

National Provider Directory
Tax ID family
Cancer Center of Hawaii2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

98-1005 Moanalua Rd
#4010
Aiea, HI 96701

2226 Liliha St
Ste B2
Honolulu, HI 96817
Phone (808) 547-6881

Practitioners & affiliated clinicians

Practitioners 12

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1285746636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST",
            "address_2": "LEVEL B-2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171600",
            "telephone_number": "808-547-6881",
            "fax_number": "808-547-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST",
            "address_2": "LEVEL B-2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171600",
            "telephone_number": "808-547-6881",
            "fax_number": "808-547-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTER OF HAWAII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-547-6881",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "HI",
            "license": "RT0007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDX",
            "identifier": "Z1658",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "564395",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "5673407",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST",
            "identifier": "0000249045",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA HMO",
            "identifier": "0000249045",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE",
            "identifier": "55593001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA HMO: HI IPA",
            "identifier": "0000249045",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BASIC",
            "identifier": "0000249045",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA 65C AND 65C PLUS",
            "identifier": "000249045",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Treatment Center Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2018; 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.