Organization Active NPI

Ecare Hawaii LLC

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1326660507
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ECARE HAWAII LLC
Practice address
633 Ponahawai St Ste 101
Hilo, HI 96720-7601
Phone
(808) 885-3627
NPI assigned
May 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Authorized official

Name
Susan Mochizuki
Title
Executive Director
Phone
(808) 797-3113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

633 Ponahawai St Ste 101
Hilo, HI 96720-7601

Mailing address

670 Ponahawai St Ste 117
Hilo, HI 96720-7831
Phone (808) 797-3113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200701002707 HI Part B Supplier - Clinic/Group Practice 0648693051 Receives reassigned benefits from 8 practitioners
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Locations

633 Ponahawai St
Ste 101
Hilo, HI 96720
Phone (808) 885-3627

670 Ponahawai St
Ste 117
Hilo, HI 96720

409 Kilauea Ave
Unit B5
Hilo, HI 96720

633 Ponahawai St
Hilo, HI 96720

409 Kilauea Ave
Unit B
Hilo, HI 96720

409 Kilauea Ave
Ste B5
Hilo, HI 96720

1248 Kinoole St
Ste 103
Hilo, HI 96720
Phone (808) 464-4468

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1326660507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 117",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207831",
            "telephone_number": "808-797-3113",
            "fax_number": "808-935-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 PONAHAWAI ST STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207601",
            "telephone_number": "808-885-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECARE HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "MOCHIZUKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-797-3113"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.