Atsushi Jim Terakubo, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD10709 Issued in HI

Practice address

1329 Lusitana St
Suite 409
Honolulu, HI 96813-2429

Phone

(808) 521-8211

Fax

(808) 523-5973

NPI assigned

Jan 1, 2007

Last updated

Jul 6, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Creighton University School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cardiology Associates IncGroup PAC ID 4789574443, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
• Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Merit-based Incentive Payment System (MIPS)

Final score

61.14 of 100Reported as individual

Quality

75.46

Improvement activities

0

Cost

89.93

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/11bc0c3c-c195-42b2-ba3e-5064c5f00185/

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.

• Cardiology Associates, Inc.

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1962567628
  Medicare reassignment Care Compare group NPD
• Cardiology Associates, Inc

  • Clinic/Center
  • Honolulu, HI
  • NPI 1164587630
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kuakini Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1215939335
  Care Compare affiliation
• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1285791343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 409",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-521-8211",
            "fax_number": "808-523-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 409",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-521-8211",
            "fax_number": "808-523-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAKUBO",
        "first_name": "ATSUSHI",
        "middle_name": "JIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD10709",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "HI",
            "license": "MD10709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00252548-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "12D0874687",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000217141",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roland B.C. Ter, M.D.
• Keith P Terada, MD
• Melissa Terada
• Owen Terada
• Sylvia Y. Terada, NP
• Samantha Teramae-Pengra, MS
• Tori Reiko Teramae, MD
• Kyla M. Teramoto Hara, M.D.
• Lance Itsuo Teramoto, DDS
• Landon Teramoto, DMD

• Interventional Cardiology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Interventional Cardiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.