Organization Active NPI

Daniel M Harada, M.D., LLC.

  • Internal Medicine Physician
  • Aiea, HI
National Provider Identifier
1386884625
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
DANIEL M HARADA, M.D., LLC.
Practice address
98-1247 Kaahumanu St Ste 307
Aiea, HI 96701-5301
Phone
(808) 488-4412
Fax
(808) 488-4416
NPI assigned
Feb 26, 2009
Last updated
Sep 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Authorized official

Name
Dr. Daniel M Harada, M.D.NPI 1689787996
Title
LLC Owner
Phone
(808) 488-4412

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

98-1247 Kaahumanu St Ste 307
Aiea, HI 96701-5301

Mailing address

98-1079 Moanalua Rd
Suite 680
Aiea, HI 96701-4713
Phone (808) 487-7700

Other identifiers 1

IdentifierTypeStateIssuer
02208702MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Daniel.Harada@55922324209668.direct.elationemr.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090827000855 HI Part B Supplier - Clinic/Group Practice 1658426531 Receives reassigned benefits from 1 practitioner
Practice locations: Aiea, HI; Alea, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D1098707Daniel M Harada MD98-1247 Kaahumanu St #307, Aiea, HI 96701Certificate of waiverApr 23, 2027

National Provider Directory

National Provider Directory

Locations

98-1247 Kaahumanu St
Ste 307
Aiea, HI 96701
Phone (808) 488-4412

Interoperability endpoints

  • Direct secure messaging: daniel.harada@55922324209668.direct.elationemr.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601337600000",
    "number": "1386884625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "SUITE 680",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014713",
            "telephone_number": "808-487-7700",
            "fax_number": "808-488-4157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 307",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015301",
            "telephone_number": "808-488-4412",
            "fax_number": "808-488-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL M HARADA, M.D., LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A",
        "authorized_official_last_name": "HARADA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LLC OWNER",
        "authorized_official_telephone_number": "808-488-4412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208702",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Daniel.Harada@55922324209668.direct.elationemr.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "98-1247 Kaahumanu St Ste 307",
            "city": "Aiea",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967015301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.