Individual provider Active NPI

Rahul Dave Bhaskar, MD

  • Nephrology Physician
  • Waipahu, HI
National Provider Identifier
1356904015
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-24381 Issued in HI
Practice address
94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032
Phone
(808) 206-9849
Fax
(808) 206-9850
NPI assigned
Apr 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 TL.0007885 CO
Nephrology Physician 207RN0300X MD-24381 HI Primary

Addresses

Primary practice location

94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032

Mailing address

94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032
Phone (808) 206-9849

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rbhaskar65114@direct.acumenmd.com

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
I20240620003058 HI Practitioner - NephrologyPractitioner - Internal Medicine 1052649860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hawaii Nephrologists LLCGroup PAC ID 6709007420, 8 clinicians

Practice addresses (Care Compare)

94 -229 Waipahu Depot St
Suite 101
Waipahu, HI 96797-3032
Phone (808) 206-9849

Hospital & facility affiliations

  • Liberty Dialysis Hawaii - Waipahu Dialysis Dialysis facility, Waipahu, HI, CCN 122522
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • 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
MD-24381HIMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Nephrologists LLC Nephrology CurrentSince Aug 1, 2024 Accepting new patients

Locations

75-184 Hualalai Rd
Ste 202
Kailua Kona, HI 96740
Phone (808) 329-8251

94-229 Waipahu Depot St
Ste 101
Waipahu, HI 96797
Phone (808) 206-9849

Interoperability endpoints

  • Direct secure messaging: rbhaskar65114@direct.acumenmd.com

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 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": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1356904015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHASKAR",
        "first_name": "RAHUL",
        "middle_name": "DAVE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "TL.0007885",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-24381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rbhaskar65114@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "94-229 Waipahu Depot St Ste 101",
            "city": "Waipahu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967973032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.