Organization Active NPI

David Y Nakamura M D Inc

Doing business as Hilo Family Medicine

  • Primary Care Clinic/Center
  • Hilo, HI
National Provider Identifier
1497817084
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DAVID Y NAKAMURA M D INC
Doing business as
Hilo Family Medicine
Practice address
670 Ponahawai Street
Suite 216 Hilo Family Medicine
Hilo, HI 96720-2660
Phone
(808) 934-8989
Fax
(808) 934-8990
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
David Y Nakamura, MDNPI 1194887067
Title
President
Phone
(808) 934-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

670 Ponahawai Street
Suite 216 Hilo Family Medicine
Hilo, HI 96720-2660

Mailing address

670 Ponahawai Street
Suite 216 Hilo Family Medicine
Hilo, HI 96720-2660
Phone (808) 934-8989

Other identifiers 2

IdentifierTypeStateIssuer
0216192OtherHIHMSA
52423201MedicaidHI

Other names 1

  • Hilo Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000162 HI Part B Supplier - Clinic/Group Practice 6406747187 Receives reassigned benefits from 2 practitioners
Practice locations: Hilo, HI

National Provider Directory

National Provider Directory

Locations

670 Ponahawai St
Ste 216
Hilo, HI 96720
Phone (808) 934-8989

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1497817084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI STREET",
            "address_2": "SUITE 216 HILO FAMILY MEDICINE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-934-8989",
            "fax_number": "808-934-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI STREET",
            "address_2": "SUITE 216 HILO FAMILY MEDICINE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202660",
            "telephone_number": "808-934-8989",
            "fax_number": "808-934-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID Y NAKAMURA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "NAKAMURA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-934-8989",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0216192",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52423201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilo Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hilo Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.