Individual provider Active NPI

Leonard Nicholas Cupo, M.D.

  • Specialist
  • Honolulu, HI
National Provider Identifier
1356436752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8060 Issued in HI
Practice address
1319 S King St
Honolulu, HI 96814-2341
Phone
(808) 599-8787
Fax
(808) 599-7744
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 8060 HI Primary

Addresses

Primary practice location

1319 S King St
Honolulu, HI 96814-2341

Mailing address

1319 S King St
Honolulu, HI 96814-2341
Phone (808) 599-8787

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
I20060103000742 HI Practitioner - Internal MedicinePractitioner - Other (Physician) 5991727042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Johns Hopkins University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1319 S King St
Honolulu, HI 96814-2341
Phone (808) 599-8787

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8060HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Leonard N Cupo, M.D., P.C. CurrentSince Nov 1, 1994 Accepting new patients

Locations

1319 S King St
Honolulu, HI 96814
Phone (808) 599-8787

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356436752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142341",
            "telephone_number": "808-599-8787",
            "fax_number": "808-599-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142341",
            "telephone_number": "808-599-8787",
            "fax_number": "808-599-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPO",
        "first_name": "LEONARD",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "8060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.