Active NPI
Minoru Adachi, M.D.
- Urgent Care Clinic/Center
- Honolulu, HI
National Provider Identifier
1497963367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 12072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H56880 | Other | HI | PIN |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12072 | HI | MD | Urgent Care Clinic/Center |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sung S. Yang, MD, Inc. | Current | 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.
-
- Primary Care Clinic/Center
- Honolulu, HI
- NPI 1346606605
-
- Urgent Care Clinic/Center
- Honolulu, HI
- NPI 1639315880
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.