Individual provider Active NPI

Richard Orland Banner, M.D.

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Honolulu, HI
National Provider Identifier
1487710695
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
MD3497 Issued in HI
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
038840-01MedicaidHI
9902986510-03OtherHIUNIVERSITY HEALTH ALLIANC
MD3497-01OtherHIMDX HAWAII
038840-01OtherHIALOHACARE
990298651-96706-E020OtherHITRICARE

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD3497HIMDPreventive Medicine/Occupational Environmental Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Health Pacific CurrentSince Apr 1, 1993 Accepting new patients

Locations

91-2301 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 671-8511

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.