NPIMap

Individual provider Active NPI

Dean K. Otaka, MD

  • Family Medicine Physician
  • Aiea, HI
National Provider Identifier
1528079134
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10822 Issued in HI
Practice address
98-1247 Kaahumanu St
Suite 115
Aiea, HI 96701-5311
Phone
(808) 486-5556
Fax
(808) 486-5586
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10822 HI Primary

Addresses

Primary practice location

98-1247 Kaahumanu St
Suite 115
Aiea, HI 96701-5311

Mailing address

Mail Code 61153 P.O.Box 1300
Honolulu, HI 96807-1300
Phone (808) 486-5556

Other identifiers 5

IdentifierTypeStateIssuer
0020533OtherHIHMSA
99-0358001OtherHIHMA
499138OtherHIQUEST ALOHA CARE
49913802MedicaidHI
99-0358001OtherHIHMAA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050929001265 HI Practitioner - Family Practice 2860427671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Hawaii John a. Burns School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Office ForceGroup PAC ID 9335481951, 58 clinicians

Practice addresses (Care Compare)

1001 Bishop St
Suite 2685a
Honolulu, HI 96813-3404
Phone (706) 715-3105

98 -1247 Kaahumanu St
Suite 115
Aiea, HI 96701-5300
Phone (808) 486-5556

Hospital & facility affiliations

  • Adventist Health Home Care Services Home health agency, Kaneohe, HI, CCN 127017
  • Home Health Honolulu Home health agency, Honolulu, HI, CCN 127025
  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions23
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10822HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Office Force CurrentSince Oct 1, 2021 Accepting new patients
Dean K Otaka MD Inc CurrentSince Jan 1, 2007 Accepting new patients
Mark a Morisaki MD Inc PastSince Jan 1, 2007 Accepting new patients
Mid Pacific ENT Institute Inc Past Accepting new patients

Locations

2005 Prince Ave
Athens, GA 30606
Phone (706) 296-8632

98-1247 Kaahumanu St
Ste 115
Aiea, HI 96701
Phone (808) 486-5556

1001 Bishop St
Ste 2685A
Honolulu, HI 96813
Phone (706) 715-3105

Interoperability endpoints

  • Direct secure messaging: dr.dean.otaka@direct.digidms.com

Organizations & group practices 4

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 7

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1528079134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MAIL CODE 61153 P.O.BOX 1300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-486-5556",
            "fax_number": "808-486-5586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST",
            "address_2": "SUITE 115",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015311",
            "telephone_number": "808-486-5556",
            "fax_number": "808-486-5586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTAKA",
        "first_name": "DEAN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "10822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0020533",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA",
            "identifier": "99-0358001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST ALOHA CARE",
            "identifier": "499138",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49913802",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA",
            "identifier": "99-0358001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.