Individual provider Active NPI

Mark Miki Mugiishi, M.D.

  • Surgery Physician
  • Honolulu, HI
National Provider Identifier
1295823789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-5371 Issued in HI
Practice address
321 N. Kuakini St.
Suite #201
Honolulu, HI 96817-2399
Phone
(808) 523-8611
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-5371 HI Primary

Addresses

Primary practice location

321 N. Kuakini St.
Suite #201
Honolulu, HI 96817-2399

Mailing address

321 N. Kuakini St.
Suite #201
Honolulu, HI 96817-2399
Phone (808) 523-8611

Other identifiers 1

IdentifierTypeStateIssuer
02078901MedicaidHI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100527000224 HI Practitioner - General Surgery 1557315702

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-5371HIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mis Endoscopy, LLC PastSince Jun 10, 2011 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mark.mugiishi@hawaiihie.medicity.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295823789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N. KUAKINI ST.",
            "address_2": "SUITE #201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172399",
            "telephone_number": "808-523-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N. KUAKINI ST.",
            "address_2": "SUITE #201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172399",
            "telephone_number": "808-523-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGIISHI",
        "first_name": "MARK",
        "middle_name": "MIKI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MD-5371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02078901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.