Active NPI
Shozo Ogawa, M.D.
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1477655116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD2014
- Practice address
- 2065 S King St Ste 201
Honolulu, HI 96826-2225 - Phone
- (808) 941-3766
- Fax
- (808) 942-2775
- NPI assigned
- Sep 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD2014 | HI | Primary |
Addresses
Primary practice location
2065 S King St Ste 201
Honolulu, HI 96826-2225
Mailing address
1441 Kapiolani Blvd, #2000
Honolulu, HI 96814
Phone (808) 945-3719
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03148101 | Medicaid | HI | |
| 034892 | Other | HI | BCBS OF HAWAII (HMSA) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014 | HI | MD | Pharmacist |
| MD2014 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Clinic-Ala Moana Inc | Internal Medicine | Current | Accepting new patients |
Locations
1441 Kapiolani Blvd
Ste 2000
Honolulu, HI 96814
Phone (808) 945-3719
2065 S King St
Ste 201
Honolulu, HI 96826
Phone (808) 941-3766
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283990400000",
"number": "1477655116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD, #2000",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-945-3719",
"fax_number": "808-945-3629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2065 S KING ST STE 201",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968262225",
"telephone_number": "808-941-3766",
"fax_number": "808-942-2775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGAWA",
"first_name": "SHOZO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-02",
"last_updated": "2010-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD2014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03148101",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF HAWAII (HMSA)",
"identifier": "034892",
"state": "HI"
}
],
"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 Sep 9, 2010; 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.