Organization Active NPI

Peter a Matsuura, MD

  • Orthopaedic Surgery Physician
  • Hilo, HI
National Provider Identifier
1396549283
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PETER A MATSUURA, MD
Practice address
670 Ponahawai St Ste 214
Hilo, HI 96720-7830
Phone
(808) 969-3331
Fax
(808) 935-6175
NPI assigned
Apr 1, 2025
Last updated
Apr 1, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PETER A MATSUURA MD ORTHOPAEDIC SURGERY & SPORTS MEDICINEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Mrs. Wendy Alice Matsuura, MBA
Title
Administrator
Phone
(808) 969-3331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

670 Ponahawai St Ste 214
Hilo, HI 96720-7830

Mailing address

670 Ponahawai St Ste 214
Hilo, HI 96720-7830
Phone (808) 969-3331

National Provider Directory

National Provider Directory
Tax ID family
Peter a Matsuura MD2 organizations share this tax ID, including this one
Part of
Peter a Matsuura MD

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1396549283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 214",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207830",
            "telephone_number": "808-969-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 214",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207830",
            "telephone_number": "808-969-3331",
            "fax_number": "808-935-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER A MATSUURA, MD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PETER A MATSUURA MD ORTHOPAEDIC SURGERY & SPORTS MEDICINE",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "MATSUURA",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-969-3331",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.