Individual provider Active NPI

Minoru Adachi, M.D.

  • Urgent Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1497963367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
12072 Issued in HI
Practice address
2155 Kalakaua Ave
Suite 308
Honolulu, HI 96815-2351
Phone
(808) 924-3399
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

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
Urgent Care Clinic/Center 261QU0200X 12072 HI Primary

Addresses

Primary practice location

2155 Kalakaua Ave
Suite 308
Honolulu, HI 96815-2351

Mailing address

300 Wai Nani Way
PH04
Honolulu, HI 96815-3983
Phone (808) 923-5890

Other identifiers 1

IdentifierTypeStateIssuer
H56880OtherHIPIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12072HIMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Sung S. Yang, MD, Inc. CurrentSince Dec 29, 2015 Accepting new patients
Ueno Clinic Inc. Urgent Care Past Accepting new patients

Locations

2155 Kalakaua Ave
Ste 308
Honolulu, HI 96815
Phone (808) 342-6305

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497963367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 WAI NANI WAY",
            "address_2": "PH04",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153983",
            "telephone_number": "808-923-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 KALAKAUA AVE",
            "address_2": "SUITE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152351",
            "telephone_number": "808-924-3399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADACHI",
        "first_name": "MINORU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "HI",
            "license": "12072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "H56880",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.