Individual provider Active NPI

Karin M Halvorson, M.D.

  • Internal Medicine Physician
  • Wailuku, HI
National Provider Identifier
1326201625
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD13599 Issued in RI
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

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150903000039 LA Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 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. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD13599RIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Independence Emergency Group LLC Emergency Medicine CurrentSince May 17, 2016 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2015 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jul 1, 2015 Accepting new patients
Hni Medical Services at Glenwood, LLC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Aug 3, 2021 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Aug 3, 2021 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.

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

Verify at the official NPI Registry.