Individual provider Active NPI

Amy B. Kogut, MD

  • Family Medicine Physician
  • Kailua, HI
National Provider Identifier
1497855191
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-6273 Issued in HI
Practice address
1243 Loho St
Kailua, HI 96734-3672
Phone
(808) 263-3020
Fax
(808) 758-0556
NPI assigned
Sep 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-6273 HI Primary

Addresses

Primary practice location

1243 Loho St
Kailua, HI 96734-3672

Mailing address

1243 Loho St
Kailua, HI 96734-3672
Phone (808) 263-3020

Other identifiers 2

IdentifierTypeStateIssuer
0000035345OtherHIHMSA BILLING NUMBER
031910-01MedicaidHI

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
I20071105000185 HI Practitioner - Family Practice 3476640632 Practice locations: Kailua, HI

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1984
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1243 Loho St
Kailua, HI 96734-3672
Phone (808) 263-3020

Hospital & facility affiliations

  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pueblo of Jemez Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: amy.kogut@394518436839428.direct.elationemr.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1497855191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 LOHO ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343672",
            "telephone_number": "808-263-3020",
            "fax_number": "808-758-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 LOHO ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343672",
            "telephone_number": "808-263-3020",
            "fax_number": "808-758-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGUT",
        "first_name": "AMY",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-6273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BILLING NUMBER",
            "identifier": "0000035345",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031910-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.