Disu Hawaii Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

DISU HAWAII INC

Practice address

1319 Punahou St Ste 1070
Honolulu, HI 96826-1081

Phone

(808) 944-8551

NPI assigned

Apr 27, 2023

Organization subpart

Yes

Parent organization

DISU HAWAII INCAs reported in NPPES

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

Authorized official

Name

Dianne Hom

Title

Credentialing

Phone

(808) 282-9676

Specialties & licenses 1

Addresses

Other names 1

• ATHENA CLINIC Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Part of

Disu Hawaii Inc

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Murariu, MD MPH

  • Surgery Physician
  • Honolulu, HI
  • NPI 1518127984
  Medicare reassignment NPD
• Robert L Peterson, M.D.

  • Plastic Surgery Physician
  • Honolulu, HI
  • NPI 1407905524
  NPD (past)

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

{
    "created_epoch": "1682553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1295423119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 1070",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261081",
            "telephone_number": "808-944-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 1070",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261081",
            "telephone_number": "808-944-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISU HAWAII INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DISU HAWAII INC",
        "enumeration_date": "2023-04-27",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "808-282-9676"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ATHENA CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ATHENA CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Direct Dermatology Professionals Hawaii PC
• Jessica M Dirusso, PT
• Discover Health
• Emily Dispoto, MMFT, BCBA, LBA
• Hanna Lee Distel, MD
• Alexandra Ditullio, M.D.
• Nikunj Divecha, MD
• Yun Ching Sum Divers, MT
• Diversified Medical Enterprises Inc
• Graham Anthony Dixon, MA, LPC

• Plastic and Reconstructive Surgery Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Plastic and Reconstructive Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.