Travis Michael Masutani, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3983 Issued in HI

Practice address

46-001 Kamehameha Hwy Ste 217
Kaneohe, HI 96744-3732

Phone

(808) 387-7596

Fax

(808) 236-3200

NPI assigned

Jan 29, 2007

Last updated

Feb 16, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mi-Health LLCGroup PAC ID 0143605030, 31 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mi-Health LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Honolulu, HI
  • NPI 1154064855
  Medicare reassignment Care Compare group NPD
• Palliative Care Hawaii LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Honolulu, HI
  • NPI 1396560686
  Medicare reassignment NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1427194133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 217",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443732",
            "telephone_number": "808-387-7596",
            "fax_number": "808-236-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 217",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443732",
            "telephone_number": "808-387-7596",
            "fax_number": "808-236-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUTANI",
        "first_name": "TRAVIS",
        "middle_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marimed Foundation
• Marimed Foundation for Island Health Care Training
• Marimed Foundation for Island Health Care Training
• Serenity Martin
• Lindsey Taylor Martinez
• Robin Izumi Matsukawa, M.D.
• Deborah J Mattheus, PHD, MSN, PNP, APRN
• Daryl Matthews, MD PHD
• Martin E Matthews, LMHC
• Angelique Matutino, LMFT

• Clinical Social Worker in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.

Verify at the official NPI Registry.