Individual provider Active NPI

Bruce S Katsura, MD

  • Physical Medicine & Rehabilitation Physician
  • Honolulu, HI
National Provider Identifier
1497857189
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD8414 Issued in HI
Practice address
1380 Lusitana St
Suite 612
Honolulu, HI 96813-2421
Phone
(808) 531-7277
Fax
(808) 531-7207
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD8414 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Suite 612
Honolulu, HI 96813-2421

Mailing address

1380 Lusitana St
Suite 612
Honolulu, HI 96813-2421
Phone (808) 531-7277

Other identifiers 1

IdentifierTypeStateIssuer
057991MedicaidHI

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
I20100901000769 HI Practitioner - Physical Medicine and Rehabilitation 6204727274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Pittsburgh School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2228 Liliha St
Suite 401
Honolulu, HI 96817-1654
Phone (808) 547-6262

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD8414HIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Physical Medicine Associates LLP Physical Medicine & Rehabilitation CurrentSince Oct 1, 1998 Accepting new patients
Bruce S. Katsura MD, Inc Physical Medicine & Rehabilitation CurrentSince Aug 1, 2017 Accepting new patients

Locations

98-1247 Kaahumanu St
Ste 122
Aiea, HI 96701
Phone (808) 485-8985

1380 Lusitana St
Ste 608
Honolulu, HI 96813
Phone (808) 532-0315

1380 Lusitana St
Ste 612
Honolulu, HI 96813
Phone (808) 450-2290

1221 Kapiolani Blvd
Ste 820
Honolulu, HI 96814

1329 Lusitana St
Ste 805
Honolulu, HI 96813
Phone (808) 528-4144

2228 Liliha St
Ste 401
Honolulu, HI 96817
Phone (808) 523-1343

Interoperability endpoints

  • Direct secure messaging: bruce.katsura@66007948918788.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1497857189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 612",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-531-7277",
            "fax_number": "808-531-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 612",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-531-7277",
            "fax_number": "808-531-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSURA",
        "first_name": "BRUCE",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "MD8414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057991",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.