Individual provider Active NPI

Hiro Makino, M.D.

  • Cardiovascular Disease Physician
  • Aiea, HI
National Provider Identifier
1467494732
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD5668 Issued in HI
Practice address
98-1247 Kaahumanu St
Suite 208
Aiea, HI 96701-5311
Phone
(808) 486-6116
Fax
(808) 486-7987
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD5668 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St
Suite 208
Aiea, HI 96701-5311

Mailing address

98-1247 Kaahumanu St
Suite 208
Aiea, HI 96701-5311
Phone (808) 486-6116

Other identifiers 1

IdentifierTypeStateIssuer
055626MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hmakino1658005@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100922001261 HI Practitioner - Cardiovascular Disease (Cardiology) 4688564792 Reassigns benefits to 3 organizations
I20200122001650 CA Practitioner - Cardiovascular Disease (Cardiology) 4688564792 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Dec 30, 2019 Accepting new patients
Hilo Benioff Medical Center CurrentSince Mar 7, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Dec 30, 2019 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Kau Hospital CurrentSince Mar 22, 2021 Accepting new patients
Kau Hospital CurrentSince Mar 22, 2021 Accepting new patients
Hawaii Permanente Medical Group Inc CurrentSince Nov 14, 2017 Accepting new patients
Hilo Benioff Medical Center Current Accepting new patients
Hilo Benioff Medical Center CurrentSince Mar 7, 2016 Accepting new patients
The Queens Medical Center Past Accepting new patients
Hiro Makino MD Inc Cardiovascular Disease PastSince Jun 1, 2001 Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

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

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

74-517 Honokohau St
Kailua Kona, HI 96740
Phone (808) 334-4400

128 Lehua St
Wahiawa, HI 96786
Phone (808) 621-4330

Interoperability endpoints

  • Direct secure messaging: hmakino1658005@oc.providencedirect.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1467494732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 208",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-486-6116",
            "fax_number": "808-486-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 208",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-486-6116",
            "fax_number": "808-486-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKINO",
        "first_name": "HIRO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD5668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055626",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hmakino1658005@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2773 Harris St Ste A",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.