Organization Active NPI

Kauai Oncology, LLC

  • Radiation Oncology Physician
  • Lihue Kauai, HI
National Provider Identifier
1417213414
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
KAUAI ONCOLOGY, LLC
Practice address
4388 Pahee Street
Lihue, Kauai, HI 96766
Phone
(808) 241-4300
Fax
(808) 241-4301
NPI assigned
Apr 4, 2012
Last updated
Jul 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Saleem Mahmood, M.D.NPI 1679677678
Title
Co-Owner/Manager
Phone
(808) 241-4300

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)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X Primary

Addresses

Primary practice location

4388 Pahee Street
Lihue, Kauai, HI 96766

Mailing address

4388 Pahee Street
Lihue, Kauai, HI 96766-2029
Phone (808) 241-4300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121012000020 HI Part B Supplier - Clinic/Group Practice 9739338435 Receives reassigned benefits from 2 practitioners
Practice locations: Lihue, HI

National Provider Directory

National Provider Directory

Locations

4388 Pahee St
Lihue, HI 96766
Phone (808) 241-4300

Practitioners & affiliated clinicians

Practitioners 2

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": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1417213414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4388 PAHEE STREET",
            "city": "LIHUE, KAUAI",
            "state": "HI",
            "postal_code": "967662029",
            "telephone_number": "808-241-4300",
            "fax_number": "808-241-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4388 PAHEE STREET",
            "city": "LIHUE, KAUAI",
            "state": "HI",
            "postal_code": "96766",
            "telephone_number": "808-241-4300",
            "fax_number": "808-241-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI ONCOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "MAHMOOD",
        "authorized_official_first_name": "SALEEM",
        "authorized_official_title_or_position": "CO-OWNER/MANAGER",
        "authorized_official_telephone_number": "808-241-4300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue Kauai, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.