Individual provider Active NPI

Emily J Goulet, MD

  • Reproductive Endocrinology Physician
  • Honolulu, HI
National Provider Identifier
1366732224
Registry record updated Nov 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD-20682 Issued in HI
Practice address
1401 S Beretania St Ste 250
Honolulu, HI 96814-1876
Phone
(808) 545-2800
Fax
(808) 262-3744
NPI assigned
Apr 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BP1-0039517 TX
Reproductive Endocrinology Physician 207VE0102X MD. 34192 AL
Reproductive Endocrinology Physician 207VE0102X MD-20682 HI Primary

Addresses

Primary practice location

1401 S Beretania St Ste 250
Honolulu, HI 96814-1876

Mailing address

1401 S Beretania St Ste 250
Honolulu, HI 96814-1876
Phone (808) 545-2800

Other practice location 1

1319 Punahou St Ste 801
Honolulu, HI 96826-1032
Phone (808) 203-6560

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200304002963 HI Practitioner - Other (Non-Physician) 1355653593 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0039517TXMDObstetrics & Gynecology Physician
MD. 34192ALMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Reproductive Medicine and Gynecology of Hawaii, Inc. CurrentSince Nov 25, 2020 Accepting new patients

Locations

1585 Kapiolani Blvd
Ste 1800
Honolulu, HI 96814
Phone (808) 545-2800

1401 S Beretania St
Ste 250
Honolulu, HI 96814
Phone (808) 545-2800

407 Uluniu St
Ste 312
Kailua, HI 96734
Phone (808) 262-0544

Interoperability endpoints

  • Direct secure messaging: emily.goulet@fih.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1302566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1366732224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 250",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141876",
            "telephone_number": "808-545-2800",
            "fax_number": "808-262-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 250",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141876",
            "telephone_number": "808-545-2800",
            "fax_number": "808-262-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Punahou St Ste 801",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968261032",
            "country_code": "US",
            "telephone_number": "808-203-6560",
            "fax_number": "808-951-1637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOULET",
        "first_name": "EMILY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-12",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP1-0039517",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "AL",
            "license": "MD. 34192",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "HI",
            "license": "MD-20682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.