Individual provider Active NPI

Shozo Ogawa, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1477655116
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2014 Issued in HI
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

Updated by the provider on Sep 9, 2010

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 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

IdentifierTypeStateIssuer
03148101MedicaidHI
034892OtherHIBCBS 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000672 HI Practitioner - Internal Medicine 9335170091 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014HIMDPharmacist
MD2014HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lukes Clinic-Ala Moana Inc Internal Medicine CurrentSince Mar 1, 2007 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

Verify at the official NPI Registry.