Organization Active NPI

Donn R Marutani, MD Inc

  • Gastroenterology Physician
  • Honolulu, HI
National Provider Identifier
1386826980
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD9223 Issued in HI
Legal business name
DONN R MARUTANI, MD INC
Practice address
321 N Kuakini St
#509
Honolulu, HI 96817-2364
Phone
(808) 523-6480
Fax
(808) 599-5961
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Authorized official

Name
Donn Ryo Marutani, MDNPI 1952479578
Title
President
Phone
(808) 523-6480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MD9223 HI Primary

Addresses

Primary practice location

321 N Kuakini St
#509
Honolulu, HI 96817-2364

Mailing address

321 N Kuakini St
#509
Honolulu, HI 96817-2364
Phone (808) 523-6480

Other identifiers 1

IdentifierTypeStateIssuer
07691101MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000318 HI Part B Supplier - Clinic/Group Practice 4284522236 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

321 N Kuakini St
Ste 509
Honolulu, HI 96817
Phone (808) 523-6480

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBGCAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197417600000",
    "number": "1386826980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "#509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-523-6480",
            "fax_number": "808-599-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "#509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-523-6480",
            "fax_number": "808-599-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONN R MARUTANI, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-12",
        "status": "A",
        "authorized_official_last_name": "MARUTANI",
        "authorized_official_first_name": "DONN",
        "authorized_official_middle_name": "RYO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-523-6480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "HI",
            "license": "MD9223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07691101",
            "state": "HI"
        }
    ],
    "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 Dec 12, 2007; 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.