Individual provider Active NPI

Atharva Prashant Joshi, MD

  • Family Medicine Physician
  • Kaunakakai, HI
National Provider Identifier
1376162693
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23711 Issued in HI
Practice address
39 Ala Malama Ave
Kaunakakai, HI 96748
Phone
(808) 553-5353
Fax
(808) 475-0061
NPI assigned
Apr 16, 2020
Last updated
Dec 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X T3309 TX
Family Medicine Physician 207Q00000X T3309 TX
Family Medicine Physician 207Q00000X MD-23711 HI
Family Medicine Physician 207Q00000X 23711 HI Primary

Addresses

Primary practice location

39 Ala Malama Ave
Kaunakakai, HI 96748

Mailing address

PO Box 2040
Kaunakakai, HI 96748-2040
Phone (808) 553-5038

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
I20230802003983 HI Practitioner - Family Practice 2264862838 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23711HIMDFamily Medicine Physician
MD-23711HIMDFamily Medicine Physician
T3309TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Molokai Ohana Health Care, Inc. CurrentSince Aug 6, 2023 Accepting new patients
Molokai Ohana Health Care, Inc. CurrentSince Jul 17, 2023 Accepting new patients
Molokai Family & Urgent Care Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Kohala Coast Urgent Care LLC Family Medicine PastSince Dec 15, 2024 Accepting new patients

Organizations & group practices 4

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1376162693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2040",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "967482040",
            "telephone_number": "808-553-5038",
            "fax_number": "808-553-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 ALA MALAMA AVE",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "96748",
            "telephone_number": "808-553-5353",
            "fax_number": "808-475-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSHI",
        "first_name": "ATHARVA",
        "middle_name": "PRASHANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "T3309",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "T3309",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-23711",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "23711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaunakakai, HI

Sources for this page

Verify at the official NPI Registry.