Organization Active NPI

Joey Y. Kohatsu, M.D., LLC

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1447519293
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15549 Issued in HI
Legal business name
JOEY Y. KOHATSU, M.D., LLC
Practice address
1329 Lusitana St Ste 303
Honolulu, HI 96813-2411
Phone
(808) 807-0311
Fax
(808) 807-0322
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Joey Yoshio Kohatsu, MDNPI 1538365127
Title
Physician / Owner
Phone
(808) 807-0311

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 15549 HI Primary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X 15549 HI

Addresses

Primary practice location

1329 Lusitana St Ste 303
Honolulu, HI 96813-2411

Mailing address

1329 Lusitana St Ste 303
Honolulu, HI 96813-2411
Phone (808) 807-0311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211115001800 HI Part B Supplier - Clinic/Group Practice 7517356488 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1329 Lusitana St
Ste 308
Honolulu, HI 96813
Phone (808) 599-8922

Practitioners & affiliated clinicians

Practitioners 3

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": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1447519293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 303",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132411",
            "telephone_number": "808-807-0311",
            "fax_number": "808-807-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 303",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132411",
            "telephone_number": "808-807-0311",
            "fax_number": "808-807-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEY Y. KOHATSU, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "KOHATSU",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "YOSHIO",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "808-807-0311",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "15549",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "15549",
            "primary": false
        }
    ],
    "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 Jan 24, 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.

Verify at the official NPI Registry.