Organization Active NPI

Hawaii Vein Institute, LLC

  • Medical Specialty Clinic/Center
  • Honolulu, HI
National Provider Identifier
1407044118
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
HAWAII VEIN INSTITUTE, LLC
Practice address
1585 Kapiolani Blvd Ste 1740
Honolulu, HI 96814-4532
Phone
(808) 949-8346
NPI assigned
Oct 9, 2007
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Dr. Wooyoung Chung, M.D.NPI 1427122613
Title
Member-Manager
Phone
(808) 949-8346

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X HI Primary
Phlebology Physician 202K00000X NU

Addresses

Primary practice location

1585 Kapiolani Blvd Ste 1740
Honolulu, HI 96814-4532

Mailing address

1585 Kapiolani Blvd Ste 1740
Honolulu, HI 96814-4532
Phone (808) 949-8346

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090611000256 HI Part B Supplier - Clinic/Group Practice 8628128717 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1585 Kapiolani Blvd
Ste 1740
Honolulu, HI 96814
Phone (808) 777-4000

1600 Kapiolani Blvd
Ste 808
Honolulu, HI 96814
Phone (808) 949-8346

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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1407044118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD STE 1740",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144532",
            "telephone_number": "808-949-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD STE 1740",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144532",
            "telephone_number": "808-949-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII VEIN INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "WOOYOUNG",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "808-949-8346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": null,
            "primary": true
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Oct 17, 2024; 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.