Active NPI
Jay M Marumoto, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- MD7568
- Practice address
- 1401 S Beretania St
Suite 750
Honolulu, HI 96814-1870 - Phone
- (808) 536-2261
- Fax
- (808) 538-3957
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | MD7568 | HI | Primary |
Addresses
Primary practice location
1401 S Beretania St
Suite 750
Honolulu, HI 96814-1870
Mailing address
1401 S Beretania St
Suite 750
Honolulu, HI 96814-1870
Phone (808) 536-2261
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07785702 | Medicaid | HI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- University of Hawaii John a. Burns School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1301 Punchbowl St
Honolulu, HI 96813-2499
1380 Lusitana St
Honolulu, HI 96813-2448
1401 S Beretania St
Suite 750
Honolulu, HI 96814-1881
Phone (808) 691-8526
94 -1144 Ka Uka Blvd
Suite 7
Waipahu, HI 96797-4483
Phone (808) 686-4010
Hospital & facility affiliations
- Careresource Hawaii
- The Queens Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Knee replacement | 52 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 11 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 36 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD7568 | HI | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Services Company, LLP | Current | Accepting new patients | |
| Orthopedic Associates of Hawaii, LLP | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
670 Ponahawai St
Ste 122
Hilo, HI 96720
Phone (808) 521-2712
1401 S Beretania St
Ste 700
Honolulu, HI 96814
Phone (808) 691-4211
1401 S Beretania St
Ste 750
Honolulu, HI 96814
Phone (808) 521-8183
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
1401 S Beretania St
Ste 610
Honolulu, HI 96814
Phone (808) 521-8165
1401 S Beretania St
Ste 600
Honolulu, HI 96814
Phone (808) 356-5614
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
328 Uluniu St
Ste 103
Kailua, HI 96734
Phone (808) 263-3020
75-5653 Kuakini Hwy
Ste 100
Kailua Kona, HI 96740
Phone (800) 322-2425
94-1144 Ka Uka Blvd
Waipahu, HI 96797
Phone (808) 531-2244
Interoperability endpoints
- jay.marumoto@hawaiihie.medicity.net
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- Orthopaedic Surgery Physician
- Honolulu, HI
- NPI 1760410955
-
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
- NPI 1174734875
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Honolulu, HI
- NPI 1245299114
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411948800000",
"number": "1407968365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 S BERETANIA ST",
"address_2": "SUITE 750",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141870",
"telephone_number": "808-536-2261",
"fax_number": "808-538-3957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 S BERETANIA ST",
"address_2": "SUITE 750",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141870",
"telephone_number": "808-536-2261",
"fax_number": "808-538-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARUMOTO",
"first_name": "JAY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2014-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "HI",
"license": "MD7568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07785702",
"state": "HI"
}
],
"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 Sep 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.