Individual provider Active NPI

Olivia Hong Manayan, MD, MPH

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1407470560
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7929 Issued in HI
Practice address
1380 Lusitana St Ste 1004
Honolulu, HI 96813-2461
Phone
(808) 686-4690
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7929 HI Primary

Addresses

Primary practice location

1380 Lusitana St Ste 1004
Honolulu, HI 96813-2461

Mailing address

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 203-6518

Other practice location 1

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 203-6518

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
I20240725001080 HI Practitioner - Obstetrics/Gynecology 6406392505 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care Physician Enterprise LLCGroup PAC ID 0244661338, 12 clinicians

Practice addresses (Care Compare)

91 -6390 Kapolei Pkwy
Suite 200
Ewa Beach, HI 96706-6380
Phone (808) 691-8200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7929HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince Aug 22, 2024 Accepting new patients
Queens University Medical Group CurrentSince Aug 1, 2024 Accepting new patients
Primary Care Physician Enterprise LLC CurrentSince Aug 1, 2024 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients

Locations

91-6390 Kapolei Pkwy
Ste 200
Ewa Beach, HI 96706
Phone (612) 802-2986

55 Merchant St
Fl 22
Honolulu, HI 96813
Phone (808) 535-7600

1380 Lusitana St
Ste 1004
Honolulu, HI 96813
Phone (808) 523-9400

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1319 Punahou St
Ste 824
Honolulu, HI 96826
Phone (808) 203-6500

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1407470560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 MOANALUA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191469",
            "telephone_number": "808-203-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 1004",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132461",
            "telephone_number": "808-686-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3288 Moanalua Rd",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968191469",
            "country_code": "US",
            "telephone_number": "808-203-6518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANAYAN",
        "first_name": "OLIVIA",
        "middle_name": "HONG",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "7929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.