Hawaikiki Telehealth LLC
Organization Active NPI Internal Medicine Physician · Honolulu, HI
NPI 1336755263 · NPPES record last updated Feb 1, 2024
Key facts
- NPI
- 1336755263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- HAWAIKIKI TELEHEALTH LLC
- Practice address
- 1088 Bishop St Ste 113
Honolulu, HI 96813-3109 - Phone
- (808) 888-4800
- NPI assigned
- Sep 16, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Tony Trpkovski, MD
- Title
- Chief Executive Officer
- Phone
- (808) 369-4002
Corporate family (same tax ID) 1
Practitioners 7
-
Veronica Alexis Barroga, CRNP
-
Kasey Kuni Kam, APRN, AGPCNP-BC
-
Youngbean Kwon, DNP
-
Tony Trpkovski, M.D.
-
Amanda Yetta Buzynski, APRN-RX, FNP-BC
-
Isaiah Mallari, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210806002037 | HI | Part B Supplier - Clinic/Group Practice | 6103220504 |
Receives reassigned benefits from 5 practitioners Practice locations: Honolulu, HI |
National Provider Directory
- Tax ID family
- Hawaikiki Telehealth
Locations
1088 Bishop St
Ste 113
Honolulu, HI 96813
Phone (808) 536-5706
1450 Ala Moana Blvd
Ste 2230
Honolulu, HI 96814
Phone (808) 888-4800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Psychologist |
103T00000X | |||
| Acupuncturist |
171100000X | |||
| Internal Medicine Physician |
207R00000X | Yes | ||
| Nurse Practitioner |
363L00000X | |||
| Clinical Nurse Specialist |
364S00000X |
Addresses
Primary practice location
1088 Bishop St Ste 113
Honolulu, HI 96813-3109
Mailing address
1088 Bishop St Ste 103
Honolulu, HI 96813-3109
Phone (808) 888-4800
Other practice location 1
6600 Kalanianaole Hwy Ste 114A
Honolulu, HI 96825-1281
Phone (808) 888-4800
Other names
- NIU Health
Other providers in Honolulu, HI
- Hawaiian Island Ear Nose and Throat
- Hawaiian Islands Medical Corp
- Hawaiian Isles Corporation
- Hawaiian Palliative Care LLC
- Hawaiian Psychology LLC
- Hawaikiki Telehealth LLC
- Hawk Health LLC
- Alan B Hawk
- Alia Elyse Hawkes
- Blendine P Hawkins
All providers in Honolulu, HI · Internal Medicine 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 Feb 1, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.