NPIMap

Individual provider Active NPI

Charles Minoru Okamura, M.D.

  • Internal Medicine Physician
  • Hilo, HI
National Provider Identifier
1427254192
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
21499 Issued in HI
Practice address
670 Ponahawai St Ste 208
Hilo, HI 96720-7830
Phone
(808) 935-2112
NPI assigned
Jun 21, 2007
Last updated
Aug 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 21499 HI Primary

Addresses

Primary practice location

670 Ponahawai St Ste 208
Hilo, HI 96720-7830

Mailing address

670 Ponahawai St Ste 208
Hilo, HI 96720-7830
Phone (808) 935-2112

Other practice location 1

1180 Waianuenue Ave
Hilo, HI 96720-2020
Phone (808) 961-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210831001305 HI Practitioner - Internal Medicine 8426147067 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

670 Ponahawai St
Suite 208
Hilo, HI 96720-7830
Phone (808) 935-2112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21499HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hilo Benioff Medical Center Single Specialty CurrentSince Jan 14, 2022 Accepting new patients
Hanai Medical Inc Single Specialty CurrentSince May 1, 2024 Accepting new patients
Quantum Healthcare Medical Associates Inc. Single Specialty CurrentSince May 18, 2021 Accepting new patients
Okahara & Olsen M.D.,Inc. Single Specialty CurrentSince Aug 18, 2024 Accepting new patients
Hilo Benioff Medical Center Single Specialty CurrentSince Jan 14, 2022 Accepting new patients
Hawaii Health Systems Corporation Single Specialty PastSince Jun 28, 2012 Accepting new patients
Hilo Benioff Medical Center Past Accepting new patients
Brighton Rehabilitation LLC Single Specialty Past Accepting new patients

Locations

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

670 Ponahawai St
Ste 208
Hilo, HI 96720
Phone (808) 935-2112

Interoperability endpoints

  • Direct secure messaging: charles.okamura.1@27354.direct.athenahealth.com
  • Direct secure messaging: cokamura21069@hhsc.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 4

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1427254192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 208",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207830",
            "telephone_number": "808-935-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST STE 208",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207830",
            "telephone_number": "808-935-2112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 Waianuenue Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202020",
            "country_code": "US",
            "telephone_number": "808-961-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAMURA",
        "first_name": "CHARLES",
        "middle_name": "MINORU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2024-08-12",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "21499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.