Individual provider Active NPI

Mary Lynn Fines Ricardo-Dukelow, M.D.

  • Infectious Disease Physician
  • Honolulu, HI
National Provider Identifier
1508815614
Registry record updated Nov 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
13253 Issued in HI
Practice address
2424 Kalakaua Ave # 476a
Honolulu, HI 96815-3233
Phone
(808) 922-6000
Fax
(808) 922-2680
NPI assigned
May 8, 2006
Last updated
Nov 23, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 23296 NE
Infectious Disease Physician 207RI0200X 13253 HI Primary

Addresses

Primary practice location

2424 Kalakaua Ave # 476a
Honolulu, HI 96815-3233

Mailing address

98-1780 Ipuala Loop
Aiea, HI 96701-1701

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
13253HIMDInfectious Disease Physician
23296NEMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195776000000",
    "number": "1508815614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1780 IPUALA LOOP",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967011701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 KALAKAUA AVE # 476A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153233",
            "telephone_number": "808-922-6000",
            "fax_number": "808-922-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICARDO-DUKELOW",
        "first_name": "MARY LYNN",
        "middle_name": "FINES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2007-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NE",
            "license": "23296",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "HI",
            "license": "13253",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 23, 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.