Danielle Tuck Wai Lum, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

17397 Issued in HI

Practice address

56-119 Pualalea St
Kahuku, HI 96731-2052

Phone

(808) 293-9216

Fax

(808) 293-1511

NPI assigned

Aug 30, 2006

Last updated

Apr 18, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Ko Olauloa Health Center

  dba Ko'olauloa Pharmacy

  • Clinic Pharmacy
  • Kahuku, HI
  • NPI 1235442849
  NPD (past)
• Ko Olauloa Health Center

  dba Ko'olauloa Community Health and Wellness Center, Kahuku Medical

  • Federally Qualified Health Center (FQHC)
  • Kahuku, HI
  • NPI 1528026952
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587168000000",
    "number": "1467562363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56-119 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-9216",
            "fax_number": "808-293-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-119 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-9216",
            "fax_number": "808-293-1511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "54-316 Kamehameha Hwy",
            "address_purpose": "LOCATION",
            "city": "Hauula",
            "state": "HI",
            "postal_code": "967179539",
            "country_code": "US",
            "telephone_number": "808-293-9231",
            "fax_number": "808-293-1511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUM",
        "first_name": "DANIELLE",
        "middle_name": "TUCK WAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-04-18",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-064882",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "17397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Rodolphe Laronde, ATC, NREMT-B
• Luseane Latu
• Stephan Lebamoff, M.D.
• Alfred S Losbanos, PT
• Haunani Annie Louis, APRN-RX
• James F Lyons, MD
• Setaleki Mailau
• Karen Salamasina Manumaleuna
• Penina Hanaloa Mata'U
• Toagaifasa Mataafa II, BA

• Pediatrics Physician in Kahuku, HI
• Providers in Kahuku, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.