Individual provider Active NPI

Thomas Sidney Kosasa, MD

  • Obstetrics Physician
  • Honolulu, HI
National Provider Identifier
1396777637
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
MD2581 Issued in HI
Practice address
1319 Punahou Street
Suite 1040
Honolulu, HI 96826-1028
Phone
(808) 949-2304
Fax
(808) 951-7004
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X MD2581 HI
Obstetrics Physician 207VX0000X MD2581 HI Primary

Addresses

Primary practice location

1319 Punahou Street
Suite 1040
Honolulu, HI 96826-1028

Mailing address

1319 Punahou Street
Suite 1040
Honolulu, HI 96826-1028
Phone (808) 949-2304

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
I20051205000697 HI Practitioner - Obstetrics/Gynecology 8921028937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1319 Punahou St
Suite 1040
Honolulu, HI 96826-1081
Phone (808) 949-2304

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2581HIMDObstetrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific in Vitro Fertilization Institute Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1396777637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU STREET",
            "address_2": "SUITE 1040",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261028",
            "telephone_number": "808-949-2304",
            "fax_number": "808-951-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU STREET",
            "address_2": "SUITE 1040",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261028",
            "telephone_number": "808-949-2304",
            "fax_number": "808-951-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSASA",
        "first_name": "THOMAS",
        "middle_name": "SIDNEY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "HI",
            "license": "MD2581",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "HI",
            "license": "MD2581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.