Active NPI
Atharva Prashant Joshi, MD
- Family Medicine Physician
- Kaunakakai, HI
National Provider Identifier
1376162693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 23711
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23711 | HI | MD | Family Medicine Physician |
| MD-23711 | HI | MD | Family Medicine Physician |
| T3309 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molokai Ohana Health Care, Inc. | Current | Accepting new patients | |
| Molokai Ohana Health Care, Inc. | Current | Accepting new patients | |
| Molokai Family & Urgent Care | Family Medicine | Current | Accepting new patients |
| Kohala Coast Urgent Care LLC | Family Medicine | Past | 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.
-
dba Molokai Community Health Center
- Federally Qualified Health Center (FQHC)
- Kaunakakai, HI
- NPI 1770570780
-
- Family Medicine Physician
- Kaunakakai, HI
- NPI 1982394243
-
dba Molokai Community Health Center
- Federally Qualified Health Center (FQHC)
- Kaunakakai, HI
- NPI 1336805621
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.