Active NPI
Richard Orland Banner, M.D.
- Preventive Medicine/Occupational Environmental Medicine Physician
- Honolulu, HI
National Provider Identifier
1487710695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- MD3497
- Practice address
- 1357 Kapiolani Blvd
Suite 1250
Honolulu, HI 96814-4549 - Phone
- (808) 973-1650
- Fax
- (808) 973-0726
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | MD3497 | HI | Primary |
Addresses
Primary practice location
1357 Kapiolani Blvd
Suite 1250
Honolulu, HI 96814-4549
Mailing address
PO Box 23348
Honolulu, HI 96823-3348
Phone (808) 781-2023
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 038840-01 | Medicaid | HI | |
| 9902986510-03 | Other | HI | UNIVERSITY HEALTH ALLIANC |
| MD3497-01 | Other | HI | MDX HAWAII |
| 038840-01 | Other | HI | ALOHACARE |
| 990298651-96706-E020 | Other | HI | TRICARE |
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD3497 | HI | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Health Pacific | Current | Accepting new patients |
Locations
91-2301 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 671-8511
Interoperability endpoints
- richard.banner@hawaiihie.medicity.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487710695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23348",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968233348",
"telephone_number": "808-781-2023",
"fax_number": "808-973-0726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1357 KAPIOLANI BLVD",
"address_2": "SUITE 1250",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144549",
"telephone_number": "808-973-1650",
"fax_number": "808-973-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANNER",
"first_name": "RICHARD",
"middle_name": "ORLAND",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "HI",
"license": "MD3497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "038840-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTH ALLIANC",
"identifier": "9902986510-03",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDX HAWAII",
"identifier": "MD3497-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHACARE",
"identifier": "038840-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "990298651-96706-E020",
"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 Jul 8, 2007; 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.