Organization Active NPI

Koolau Radiology, Inc

  • Diagnostic Radiology Physician
  • Honolulu, HI
National Provider Identifier
1427006147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD02562 Issued in HI
Legal business name
KOOLAU RADIOLOGY, INC
Practice address
1380 Lusitana St
Second Floor
Honolulu, HI 96813-2449
Phone
(808) 599-4471
Fax
(808) 523-3849
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard L De Journett, M.D.
Title
President
Phone
(808) 599-4471

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X MD02562 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Second Floor
Honolulu, HI 96813-2449

Mailing address

1380 Lusitana St
Second Floor
Honolulu, HI 96813-2449
Phone (808) 599-4471

National Provider Directory

National Provider Directory

Locations

1380 Lusitana St
Ste 200
Honolulu, HI 96813
Phone (808) 528-5500

1380 Lusitana St
Lbby 2
Honolulu, HI 96813
Phone (808) 599-4471

5001 US Highway 30 W
#D
Fort Wayne, IN 46818
Phone (808) 599-4471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427006147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SECOND FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-599-4471",
            "fax_number": "808-523-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SECOND FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-599-4471",
            "fax_number": "808-523-3849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOLAU RADIOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DE JOURNETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-599-4471",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "MD02562",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.