Individual provider Active NPI

Michael Patrick Mouri, M.D., D.D.S.

  • Emergency Medicine Physician
  • Honolulu, HI
National Provider Identifier
1346457116
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18734 Issued in AL
Practice address
1744 Liliha St
Suite 207
Honolulu, HI 96817-3115
Phone
(808) 536-6073
NPI assigned
May 17, 2007
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 18734 AL
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X M8095 HI
Dentist 122300000X 18734 AL
Military Health Care Provider 171000000X 18734 AL
Family Medicine Physician 207Q00000X M8095 HI
Family Medicine Physician 207Q00000X 18734 AL
Emergency Medicine Physician 207P00000X U0260 TX
Emergency Medicine Physician 207P00000X M8095 HI
Dentist 122300000X M8095 HI
Legal Medicine (M.D./D.O.) Physician 209800000X 18734 AL
Emergency Medicine Physician 207P00000X 18734 AL Primary

Addresses

Primary practice location

1744 Liliha St
Suite 207
Honolulu, HI 96817-3115

Mailing address

1744 Liliha St Ste 207
Honolulu, HI 96817-3115
Phone (469) 585-1455

Other practice location 1

5300 57th St N Bldg 120
Birmingham, AL 35217-3328
Phone (205) 808-3706

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TX, VI, KY, FL5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20200922000518 MS Practitioner - Family Practice 6103060348 Reassigns benefits to 1 organization
I20230105001174 TX Practitioner - Emergency Medicine 6103060348 Reassigns benefits to 2 organizations
I20230811003112 VI Practitioner - Emergency Medicine 6103060348 Reassigns benefits to 1 organization
I20240304003596 KY Practitioner - Emergency Medicine 6103060348 Reassigns benefits to 2 organizations
I20260520000475 FL Practitioner - Family PracticePractitioner - Emergency Medicine 6103060348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical Branch at Galveston, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Emergency Physicians LLCGroup PAC ID 2466364997, 776 clinicians

Practice addresses (Care Compare)

1099 Medical Ctr Cir
Mayfield, KY 42066-1179
Phone (270) 251-4100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M8095HIMDDentist
18734ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Services Southeast PSC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Sep 10, 2023 Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince Nov 24, 2022 Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Jan 1, 2018 Accepting new patients
Relias Emergency Medicine Specialists of West Point, LLC Emergency Medicine CurrentSince Sep 15, 2020 Accepting new patients
Mobile Emergency Group PC Emergency Medicine Past Accepting new patients
Pegasus Emergency Group Gadsden, LLC Emergency Medicine Past Accepting new patients

Locations

83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195

2505 US Highway 431
Boaz, AL 35957
Phone (256) 546-5287

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

1099 Medical Center Cir
Mayfield, KY 42066
Phone (270) 251-4100

8 Oak Park Dr
Bedford, MA 01730
Phone (781) 280-1527

150 Medical Center Dr
West Point, MS 39773
Phone (601) 494-2321

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

265 Brookview Centre Way
Ste 203
Knoxville, TN 37919
Phone (865) 500-1254

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1346457116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 LILIHA ST STE 207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173115",
            "telephone_number": "469-585-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 LILIHA ST",
            "address_2": "SUITE 207",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173115",
            "telephone_number": "808-536-6073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 57th St N Bldg 120",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352173328",
            "country_code": "US",
            "telephone_number": "205-808-3706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOURI",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D., D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AL",
            "license": "18734",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "HI",
            "license": "M8095",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "18734",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "AL",
            "license": "18734",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "M8095",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18734",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "U0260",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "M8095",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "HI",
            "license": "M8095",
            "primary": false
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "AL",
            "license": "18734",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "18734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.