NPIMap

Individual provider Active NPI

Christie H Izutsu, M.D.

  • Nephrology Physician
  • Honolulu, HI
National Provider Identifier
1295021657
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
18722 Issued in HI
Practice address
2228 Liliha St Ste 200
Honolulu, HI 96817-1652
Phone
(808) 533-3130
Fax
(808) 533-3140
NPI assigned
Jun 23, 2011
Last updated
Jun 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 18722 HI Primary
Internal Medicine Physician 207R00000X A123932 CA

Addresses

Primary practice location

2228 Liliha St Ste 200
Honolulu, HI 96817-1652

Mailing address

2228 Liliha St Ste 200
Honolulu, HI 96817-1652
Phone (808) 533-3130

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cizutsu31207@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004003037 HI Practitioner - NephrologyPractitioner - Internal Medicine 0446548622 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shiuh-Feng Cheng M D IncGroup PAC ID 1951304732, 5 clinicians
The Queens Medical CenterGroup PAC ID 3476454067, 191 clinicians

Practice addresses (Care Compare)

2228 Liliha St
Suite 200
Honolulu, HI 96817-1652
Phone (808) 533-3130

550 S Beretania St
Suite 404
Honolulu, HI 96813-2496
Phone (808) 691-8897

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123932CAMDInternal Medicine Physician
18722HIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Oct 1, 2019 Accepting new patients
The Queen's Medical Center CurrentSince Oct 1, 2019 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Jul 17, 2023 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services CurrentSince Jul 17, 2023 Accepting new patients
Shiuh-Feng Cheng M D Inc Nephrology CurrentSince Sep 1, 2016 Accepting new patients
Kokua Kalihi Valley Comprehensive Family Services Past Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1846 Gulick Ave
Honolulu, HI 96819
Phone (808) 791-9415

2228 Liliha St
Ste 200
Honolulu, HI 96817
Phone (808) 533-3130

2239 N School St
Honolulu, HI 96819
Phone (808) 791-9400

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Interoperability endpoints

  • Direct secure messaging: cizutsu31207@direct.acumenmd.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1295021657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2228 LILIHA ST STE 200",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171652",
            "telephone_number": "808-533-3130",
            "fax_number": "808-533-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2228 LILIHA ST STE 200",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171652",
            "telephone_number": "808-533-3130",
            "fax_number": "808-533-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZUTSU",
        "first_name": "CHRISTIE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-23",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "18722",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A123932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cizutsu31207@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "2228 Liliha St Ste 200",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968171652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.