Individual provider Active NPI

Stephanie Murata, PA-C

  • Surgical Physician Assistant
  • Honolulu, HI
National Provider Identifier
1316289481
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
AMD537 Issued in HI
Practice address
500 Ala Moana Blvd Ste 301
Honolulu, HI 96813-4920
Phone
(775) 237-3524
Fax
(808) 210-2982
NPI assigned
Mar 26, 2013
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9106806 FL
Medical Physician Assistant 363AM0700X PA 9106806 FL
Medical Physician Assistant 363AM0700X AMD537 HI
Surgical Physician Assistant 363AS0400X PA9106806 FL
Surgical Physician Assistant 363AS0400X AMD537 HI Primary

Addresses

Primary practice location

500 Ala Moana Blvd Ste 301
Honolulu, HI 96813-4920

Mailing address

412 Koko Isle Cir
Honolulu, HI 96825-1819
Phone (561) 414-3524

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140203000465 HI Practitioner - Physician Assistant 8921237496 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honolulu Pain Management Clinic, L.L.C.Group PAC ID 8123919537, 3 clinicians

Practice addresses (Care Compare)

500 Ala Moana Blvd
Suite 1 302
Honolulu, HI 96813-4925
Phone (808) 528-3657

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9106806FLMDPhysician Assistant
PA 9106806FLMDMedical Physician Assistant
AMD537HIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Jun 1, 2019 Accepting new patients
Paul N Morton LLC CurrentSince May 1, 2021 Accepting new patients
The Queens Medical Center CurrentSince Jun 1, 2019 Accepting new patients
Queens University Medical Group PastSince Sep 1, 2023 Accepting new patients

Locations

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

1380 Lusitana St
Ste 808
Honolulu, HI 96813
Phone (808) 439-6201

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

Interoperability endpoints

  • Direct secure messaging: stephanie.murata@35736999690244.direct.elationemr.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1316289481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 KOKO ISLE CIR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251819",
            "telephone_number": "561-414-3524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 301",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "775-237-3524",
            "fax_number": "808-210-2982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURATA",
        "first_name": "STEPHANIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2023-10-16",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9106806",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9106806",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD537",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9106806",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "HI",
            "license": "AMD537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.