Individual provider Active NPI

Rae Nagao Teramoto, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Honolulu, HI
National Provider Identifier
1487742128
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD-5462 Issued in HI
Practice address
321 N Kuakini St
Suite #201
Honolulu, HI 96817-2364
Phone
(808) 523-8611
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-5462 HI
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD-5462 HI Primary

Addresses

Primary practice location

321 N Kuakini St
Suite #201
Honolulu, HI 96817-2364

Mailing address

321 N Kuakini St
Suite #201
Honolulu, HI 96817-2364
Phone (808) 523-8611

Other identifiers 1

IdentifierTypeStateIssuer
02195501MedicaidHI

Other names 1

  • Rae Reiko Nagao Former name

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
I20100331000906 HI Practitioner - Internal MedicinePractitioner - Endocrinology 2365496510

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: rae.teramoto@hawaiihie.medicity.net

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487742128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE #201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-523-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST",
            "address_2": "SUITE #201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172364",
            "telephone_number": "808-523-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAMOTO",
        "first_name": "RAE",
        "middle_name": "NAGAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-5462",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "HI",
            "license": "MD-5462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02195501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAE",
            "last_name": "NAGAO",
            "middle_name": "REIKO",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.