Active NPI
Doctors of Waikiki
- General Practice Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- DOCTORS OF WAIKIKI
- Practice address
- 120 Kaiulani Ave Unit 10&11
Honolulu, HI 96815-6203 - Phone
- (808) 922-2112
- NPI assigned
- Sep 15, 2018
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Alan I Wu, MD
- Title
- Medical Director
- Phone
- (808) 376-7278
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181203001380 | HI | Part B Supplier - Clinic/Group Practice | 7810231834 |
Receives reassigned benefits from 7 practitioners 1 other NPI on this enrollment Practice locations: Honolulu, HI |
National Provider Directory
National Provider DirectoryLocations
120 Kaiulani Ave
Ste KW10AND11
Honolulu, HI 96815
120 Kaiulani Ave
#1011
Honolulu, HI 96815
Phone (808) 304-6676
120 Kaiulani Ave
Unit 1011
Honolulu, HI 96815
Phone (808) 922-2112
120 Kaiulani Ave
Lbby 1011
Honolulu, HI 96815
120 Kaiulani Ave
Ste KW1011
Honolulu, HI 96815
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
120 Kaiulani Ave Unit 10&11
Honolulu, HI 96815-6203
Mailing address
120 Kaiulani Ave Lbby 10&11
Honolulu, HI 96815-6203
Phone (808) 922-2112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2020.
{
"created_epoch": "1536969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598572800000",
"number": "1366926313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 KAIULANI AVE LBBY 10&11",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968156203",
"telephone_number": "808-922-2112",
"fax_number": "808-762-3441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 KAIULANI AVE UNIT 10&11",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968156203",
"telephone_number": "808-922-2112"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOCTORS OF WAIKIKI",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-15",
"last_updated": "2020-08-28",
"certification_date": "2020-08-28",
"status": "A",
"authorized_official_last_name": "WU",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "808-376-7278",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.