Individual provider Active NPI

Joel Albus

  • Adult Medicine Physician
  • Kaneohe, HI
National Provider Identifier
1316664386
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
682 Issued in HI
Practice address
46-122 Kiowai St Unit 2824
Kaneohe, HI 96744-6144
Phone
(808) 753-7666
NPI assigned
Oct 20, 2022
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
682HIMDForensic Psychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 682 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

46-122 Kiowai St Unit 2824
Kaneohe, HI 96744-6144

Mailing address

46-122 Kiowai St Unit 2824
Kaneohe, HI 96744-6144
Phone (808) 753-7666

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Other URL Www.4mbr.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2022.

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1316664386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-122 KIOWAI ST UNIT 2824",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967446144",
            "telephone_number": "808-753-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-122 KIOWAI ST UNIT 2824",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967446144",
            "telephone_number": "808-753-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBUS",
        "first_name": "JOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "HI",
            "license": "682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.4mbr.com",
            "affiliation": "N",
            "address_1": "46-122 Kiowai St Unit 2824",
            "city": "Kaneohe",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967446144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.