Active NPI
Robert J Medoff, MD
- Orthopaedic Surgery Physician
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD4076
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD407601 | Other | HI | QUEENS QUEST |
| 020547-01 | Medicaid | HI | |
| 4390580001 | Other | HI | DMERC |
| 00A0022705 | Other | HI | HMSA |
| 00A0022705 | Other | HI | BLUE CROSS |
| 197302100 | Other | HI | DEPT 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
Enrollment records 1
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
Practice addresses (Care Compare)
30 Aulike St
Suite 201
Kailua, HI 96734-2750
Phone (808) 261-4658
Hospital & facility affiliations
- Adventist Health Castle
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD4076 | HI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Windward Orthopaedic Group Inc | Orthopaedic Surgery | Current | 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.
-
- Orthopaedic Surgery Physician
- Kailua, HI
- NPI 1245209162
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.