Active NPI
Roui Lorenzo Canicula De Castro, M.D.
- Internal Medicine Physician
- Ewa Beach, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-21134
- Practice address
- 91-6390 Kapolei Pkwy Ste 200
Ewa Beach, HI 96706 - Phone
- (808) 691-8200
- NPI assigned
- May 12, 2017
- Last updated
- Aug 4, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-21134 | HI | Primary |
Addresses
Primary practice location
91-6390 Kapolei Pkwy Ste 200
Ewa Beach, HI 96706
Mailing address
91-6390 Kapolei Pkwy Ste 200
Ewa Beach, HI 96706
Phone (808) 691-8200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
91 -6390 Kapolei Pkwy
Suite 200
Ewa Beach, HI 96706-6380
Phone (808) 691-8200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Physician Enterprise LLC | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| The Queen's Medical Center | Current | Accepting new patients |
Locations
91-6390 Kapolei Pkwy
Ste 200
Ewa Beach, HI 96706
Phone (612) 802-2986
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
Interoperability endpoints
- roui.decastro@hawaiihie.medicity.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Honolulu, HI
- NPI 1245299114
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596499200000",
"number": "1346777059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-6390 KAPOLEI PKWY STE 200",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "96706",
"telephone_number": "808-691-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-6390 KAPOLEI PKWY STE 200",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "96706",
"telephone_number": "808-691-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE CASTRO",
"first_name": "ROUI LORENZO",
"middle_name": "CANICULA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-12",
"last_updated": "2020-08-04",
"certification_date": "2020-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD-21134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.