Individual provider Active NPI

Jay M Marumoto, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Honolulu, HI
National Provider Identifier
1407968365
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD7568 Issued in HI
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

Updated by the provider on Sep 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07785702MedicaidHI

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
I20100517000629 HI Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 8325044787 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports MedicineAlso: Orthopedic Surgery
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
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

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 Home health agency, Honolulu, HI, CCN 127013
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement52
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

LicenseStateTypeSpecialty
MD7568HIMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Services Company, LLP CurrentSince Aug 1, 1999 Accepting new patients
Orthopedic Associates of Hawaii, LLP CurrentSince Aug 1, 1999 Accepting new patients
Queens University Medical Group CurrentSince Dec 8, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.