Individual provider Active NPI

Lorraine Sonoda-Fogel, MD

  • Internal Medicine Physician
  • Kamuela, HI
National Provider Identifier
1326065129
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD7388 Issued in HI
Practice address
65-1230 Mamalahoa Hwy Ste A10
Kamuela, HI 96743-8445
Phone
(808) 823-0103
NPI assigned
Jul 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD7388 HI Primary

Addresses

Primary practice location

65-1230 Mamalahoa Hwy Ste A10
Kamuela, HI 96743-8445

Mailing address

65-1230 Mamalahoa Hwy
Ste A10
Kamuela, HI 96743-8445

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
I20040401001512 HI Practitioner - Internal Medicine 2264424811 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

65-1230 Mamalahoa Hwy
Kamuela, HI 96743-8445
Phone (808) 885-0660

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD7388HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorraine Sonoda-Fogel MD Inc. Internal Medicine CurrentSince Jan 30, 2008 Accepting new patients
Lorraine Sonoda-Fogel MD Inc Internal Medicine Current Accepting new patients
Hilo Urgent Care Center, LLC CurrentSince Oct 10, 2017 Accepting new patients
Hui Malama Ola NA 'Oiwi PastSince Dec 11, 2019 Accepting new patients
Randall H. Hirata M.D., Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

670 Kekuanaoa St
Hilo, HI 96720
Phone (808) 961-2609

65-1230 Mamalahoa Hwy
Ste A10
Kamuela, HI 96743
Phone (808) 885-0660

16-590 Old Volcano Rd
Keaau, HI 96749
Phone (808) 966-7942

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAJCBD
  • Direct secure messaging: lorraine.sonoda-fogel.1@11020.direct.athenahealth.com

Organizations & group practices 5

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": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1326065129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY",
            "address_2": "STE A10",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1230 MAMALAHOA HWY STE A10",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438445",
            "telephone_number": "808-823-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONODA-FOGEL",
        "first_name": "LORRAINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD7388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.