Active NPI
Karin M Halvorson, M.D.
- Internal Medicine Physician
- Wailuku, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD13599
- Practice address
- 221 Mahalani St
Wailuku, HI 96793-2526 - Phone
- (808) 244-9056
- NPI assigned
- Jul 7, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD13599 | RI | |
| Internal Medicine Physician | 207R00000X | 036122660 | IL | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD.206921 | LA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 036122660 | IL | |
| Pulmonary Disease Physician | 207RP1001X | MD.206921 | LA | |
| Pulmonary Disease Physician | 207RP1001X | 036122660 | IL | |
| Internal Medicine Physician | 207R00000X | MD13599 | RI | Primary |
Addresses
Primary practice location
221 Mahalani St
Wailuku, HI 96793-2526
Mailing address
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
Other practice location 1
7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370
Phone (225) 765-5864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150903000039 | LA | Practitioner - Pulmonary Disease | 1557589595 | Reassigns benefits to 3 organizations |
| I20211104002898 | HI | Practitioner - Critical Care (Intensivists) | 1557589595 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD13599 | RI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Independence Emergency Group LLC | Emergency Medicine | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Hni Medical Services at Glenwood, LLC | Internal Medicine | Current | Accepting new patients |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients | |
| Maui Health System a Kaiser Foundation Hospitals LLC | Current | Accepting new patients |
Locations
1849 Wili Pa Loop
Wailuku, HI 96793
Phone (808) 242-2010
221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Wailuku, HI
- NPI 1013379460
HI
-
- Internal Medicine Physician
- West Monroe, LA
- NPI 1669962064
Internal Medicine, LA
-
- Emergency Medicine Physician
- Metairie, LA
- NPI 1528384773
Emergency Medicine, LA
-
- Specialist
- Wailuku, HI
- NPI 1669834016
-
- Nursing Facility/Intermediate Care Facility
- Lana'I, HI
- NPI 1841645959
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1326201625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932526",
"telephone_number": "808-244-9056"
}
],
"practiceLocations": [
{
"address_1": "7777 Hennessy Blvd Ste 701",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708084370",
"country_code": "US",
"telephone_number": "225-765-5864",
"fax_number": "225-765-2013",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALVORSON",
"first_name": "KARIN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-07",
"last_updated": "2021-09-09",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "RI",
"license": "MD13599",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036122660",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "LA",
"license": "MD.206921",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IL",
"license": "036122660",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "LA",
"license": "MD.206921",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036122660",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "RI",
"license": "MD13599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.