Individual provider Active NPI

Michael Kroll, MD

  • Ophthalmology Physician
  • Kahului, HI
National Provider Identifier
1538160627
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD5089 Issued in HI
Practice address
23 Paa St
Kahului, HI 96732-3606
Phone
(808) 877-8955
Fax
(808) 877-8957
NPI assigned
Aug 10, 2005
Last updated
Jun 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD5089 HI Primary

Addresses

Primary practice location

23 Paa St
Kahului, HI 96732-3606

Mailing address

23 Paa St
Kahului, HI 96732-3606
Phone (808) 877-8955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD5089HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Institute of Hawaii LLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Retina Institute of Hawaii LLC Ophthalmology CurrentSince Jun 1, 2022 Accepting new patients
Marietta Eye Clinic, PA Ophthalmology PastSince Jan 29, 2023 Accepting new patients

Locations

1620 Ala Moana Blvd
Ste 500
Honolulu, HI 96815

23 Paa St
Kahului, HI 96732
Phone (808) 674-2727

77-6403 Nalani St
Fl Second
Kailua Kona, HI 96740

606 Kilani Ave
Wahiawa, HI 96786
Phone (808) 621-8448

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1538160627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 PAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323606",
            "telephone_number": "808-877-8955",
            "fax_number": "808-877-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 PAA ST",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323606",
            "telephone_number": "808-877-8955",
            "fax_number": "808-877-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD5089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.