Individual provider Active NPI

Judy Tae Okimura, MD

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1356454433
Registry record updated Dec 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD12151 Issued in HI
Practice address
1380 Lusitana St Ste 404
Honolulu, HI 96813-2440
Phone
(808) 951-2433
Fax
(808) 690-9821
NPI assigned
Aug 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD12151 HI Primary
Pediatrics Physician 208000000X MD12151 HI

Addresses

Primary practice location

1380 Lusitana St Ste 404
Honolulu, HI 96813-2440

Mailing address

1380 Lusitana St Ste 404
Honolulu, HI 96813-2440
Phone (808) 951-0433

Other identifiers 1

IdentifierTypeStateIssuer
54061801MedicaidHI

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
I20061211000275 HI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4385643857 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1380 Lusitana St
Suite 404
Honolulu, HI 96813-2440
Phone (808) 951-0433

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12151HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Judy T. Okimura, MD LLC Internal Medicine CurrentSince Oct 27, 2015 Accepting new patients

Locations

1380 Lusitana St
Ste 404
Honolulu, HI 96813
Phone (808) 690-9888

Interoperability endpoints

  • Direct secure messaging: judy.okimura.1@14026.direct.athenahealth.com
  • Direct secure messaging: judy.okimura@hawaiihie.medicity.net

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.

Hospital & facility affiliations 4

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291334400000",
    "number": "1356454433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 404",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132440",
            "telephone_number": "808-951-0433",
            "fax_number": "808-690-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 404",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132440",
            "telephone_number": "808-951-2433",
            "fax_number": "808-690-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKIMURA",
        "first_name": "JUDY",
        "middle_name": "TAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD12151",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD12151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54061801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.