Active NPI
Mek MD Inc
- Pulmonary Disease Physician
- Honolulu, HI
National Provider Identifier
1417062092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- HI12656
- Legal business name
- MEK MD INC
- Practice address
- 929 Koae St
Honolulu, HI 96816-5004 - Phone
- (808) 734-1130
- Fax
- (808) 734-4425
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marc Evan Kruger, MD
- Title
- President / Ceo
- Phone
- (808) 221-2161
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | HI12656 | HI | Primary |
Addresses
Primary practice location
929 Koae St
Honolulu, HI 96816-5004
Mailing address
929 Koae St
Honolulu, HI 96816-5004
Phone (808) 221-2161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54750702 | Medicaid | HI | |
| 00B0245072 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
98-1079 Moanalua Rd
Ste 430
Aiea, HI 96701
Phone (808) 484-2000
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Honolulu, HI
- NPI 1275572026
-
- Physician Assistant
- Honolulu, HI
- NPI 1003591777
-
- Pulmonary Disease Physician
- Waipahu, HI
- NPI 1730112160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755734400000",
"number": "1417062092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "929 KOAE ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165004",
"telephone_number": "808-221-2161",
"fax_number": "808-734-4425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 KOAE ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165004",
"telephone_number": "808-734-1130",
"fax_number": "808-734-4425"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEK MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A",
"authorized_official_last_name": "KRUGER",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "EVAN",
"authorized_official_title_or_position": "PRESIDENT / CEO",
"authorized_official_telephone_number": "808-221-2161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "HI",
"license": "HI12656",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54750702",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00B0245072",
"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 Aug 21, 2025; 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.