Susan Chapman, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Kailua, HI
NPI 1316934698 · NPPES record last updated Aug 7, 2008
Key facts
- NPI
- 1316934698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD4609 (HI)
- Practice address
- 642 Ulukahiki St
Ste 305
Kailua, HI 96734-4400 - Phone
- (808) 261-6644
- Fax
- (808) 261-6645
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 84 of 100
- Quality
- 84.73
- Promoting interoperability
- 89
- Improvement activities
- 40
- Cost
- 71.09
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100819000594 | HI | Practitioner - Obstetrics/Gynecology | 0244383602 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD4609 | HI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pali Womens Health Center Inc | Obstetrics & Gynecology | Current |
Accepting new patients |
| Castle Medical Center | Past | Accepting new patients |
Locations
642 Ulukahiki St
Ste 305
Kailua, HI 96734
Phone (808) 261-6644
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD4609 | HI | Yes |
Addresses
Primary practice location
642 Ulukahiki St
Ste 305
Kailua, HI 96734-4400
Mailing address
642 Ulukahiki St
Ste 305
Kailua, HI 96734-4400
Phone (808) 261-6644
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00210501 | Medicaid | HI | |
| B016259 | Other | HMSA | |
| 192256 | Other | SUMMERIN | |
| MD4609 | Other | QUEENS | |
| 867 | Other | ALOHACARE |
Other providers in Kailua, HI
- Allison Pualani Chan
- Ashley Chandler
- Sally Malia Chang
- Shaun Chang
- Jasmine Chapman
- Charlton MD LLC
- Charmae K. Kwan LMHC Inc
- Abdul Chaudhry
- Israel Chavez
- Cheryl Cheng
All providers in Kailua, HI · Obstetrics & Gynecology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.