Individual provider Active NPI

Robert J Medoff, MD

  • Orthopaedic Surgery Physician
  • Kailua, HI
National Provider Identifier
1508830258
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD4076 Issued in HI
Practice address
30 Aulike St
Suite 506
Kailua, HI 96734-2739
Phone
(808) 261-4658
Fax
(808) 263-2036
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD4076 HI Primary

Addresses

Primary practice location

30 Aulike St
Suite 506
Kailua, HI 96734-2739

Mailing address

30 Aulike St
Suite 506
Kailua, HI 96734-2739
Phone (808) 261-4658

Other practice location 1

1 Jarrett White Rd
Tripler Amc, HI 96859-5001
Phone (808) 433-7797

Other identifiers 6

IdentifierTypeStateIssuer
MD407601OtherHIQUEENS QUEST
020547-01MedicaidHI
4390580001OtherHIDMERC
00A0022705OtherHIHMSA
00A0022705OtherHIBLUE CROSS
197302100OtherHIDEPT OF LABOR FEDERAL

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
I20060105000142 HI Practitioner - Orthopedic Surgery 8820011836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Windward Orthopaedic Group IncGroup PAC ID 9436245693, 6 clinicians

Practice addresses (Care Compare)

30 Aulike St
Suite 201
Kailua, HI 96734-2750
Phone (808) 261-4658

Hospital & facility affiliations

  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD4076HIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windward Orthopaedic Group Inc Orthopaedic Surgery CurrentSince Jul 16, 2007 Accepting new patients

Locations

30 Aulike St
#506
Kailua, HI 96734
Phone (808) 261-4658

30 Aulike St
Ste 506
Kailua, HI 96734
Phone (808) 261-4658

30 Aulike St
Ste 201
Kailua, HI 96734
Phone (808) 261-4658

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 1

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1508830258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 506",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342739",
            "telephone_number": "808-261-4658",
            "fax_number": "808-263-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 AULIKE ST",
            "address_2": "SUITE 506",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342739",
            "telephone_number": "808-261-4658",
            "fax_number": "808-263-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_purpose": "LOCATION",
            "city": "Tripler Amc",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-7797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDOFF",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD4076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEENS QUEST",
            "identifier": "MD407601",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020547-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4390580001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0022705",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00A0022705",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR FEDERAL",
            "identifier": "197302100",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.