Individual provider Active NPI

Wichit Sae-Ow, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
National Provider Identifier
1346551983
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD-18726 Issued in HI
Practice address
1301 Punchbowl Street
Iolani 4 Pathology
Honolulu, HI 96813
Phone
(808) 691-4271
Fax
(808) 691-4045
NPI assigned
Jun 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD-18726 HI Primary

Addresses

Primary practice location

1301 Punchbowl Street
Iolani 4 Pathology
Honolulu, HI 96813

Mailing address

737 Bishop St Ste 2060
Honolulu, HI 96813-3214
Phone (808) 691-4271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160824002493 HI Practitioner - Pathology 8527353937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Pathologists LaboratoryGroup PAC ID 4880585876, 16 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 691-4271

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.75 of 100Reported as group
Quality
75
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-18726HIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Pathologists' Laboratory Anatomic Pathology & Clinical Pathology CurrentSince Jul 5, 2016 Accepting new patients
Diagnostic Laboratory Services, Inc PastSince Jun 2, 2024 Accepting new patients
Hawaii Pathologists' Laboratory Past Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1301 Punchbowl St
#4
Honolulu, HI 96813
Phone (808) 691-4271

702 S Beretania St
Ste B100
Honolulu, HI 96813
Phone (808) 538-2701

737 Bishop St
Ste 2060
Honolulu, HI 96813

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

Organizations & group practices 3

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.

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1346551983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 BISHOP ST STE 2060",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133214",
            "telephone_number": "808-691-4271",
            "fax_number": "808-691-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL STREET",
            "address_2": "IOLANI 4 PATHOLOGY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-691-4271",
            "fax_number": "808-691-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAE-OW",
        "first_name": "WICHIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "HI",
            "license": "MD-18726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.