Organization Active NPI

Doctors of Waikiki

  • General Practice Physician
  • Honolulu, HI
National Provider Identifier
1366926313
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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, MDNPI 1013116128
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.