Individual provider Active NPI

Gary Okamura, MD

  • Orthopaedic Surgery Physician
  • Honolulu, HI
National Provider Identifier
1366542383
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD8780 Issued in HI
Practice address
1380 Lusitana St Ste 903
Honolulu, HI 96813-2448
Phone
(808) 550-0498
Fax
(808) 600-3504
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD8780 HI Primary

Addresses

Primary practice location

1380 Lusitana St Ste 903
Honolulu, HI 96813-2448

Mailing address

1380 Lusitana St Ste 903
Honolulu, HI 96813-2448
Phone (808) 550-0498

Other identifiers 2

IdentifierTypeStateIssuer
04085301MedicaidHI
MD8780OtherHIHAWAII STATE LICENSE

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
I20051010000428 HI Practitioner - Orthopedic Surgery 4486679412 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1380 Lusitana St
Suite 903
Honolulu, HI 96813-2448

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8780HIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Surgery of Hawaii Corp CurrentSince Feb 1, 1999 Accepting new patients

Locations

1329 Lusitana St
Ste 501
Honolulu, HI 96813
Phone (808) 521-1102

1380 Lusitana St
Ste 903
Honolulu, HI 96813
Phone (808) 531-1106

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 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1366542383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 903",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132448",
            "telephone_number": "808-550-0498",
            "fax_number": "808-600-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 903",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132448",
            "telephone_number": "808-550-0498",
            "fax_number": "808-600-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAMURA",
        "first_name": "GARY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD8780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04085301",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAWAII STATE LICENSE",
            "identifier": "MD8780",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.