Individual provider Active NPI

Patrick Fujimoto, MD

  • Anesthesiology Physician
  • Kaneohe, HI
National Provider Identifier
1548218936
Registry record updated Dec 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A87608 Issued in CA
Practice address
44-668 Kuono PL
Kaneohe, HI 96744-2539
Phone
(415) 341-7354
NPI assigned
May 5, 2006
Last updated
Dec 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A87608 CA Primary

Addresses

Primary practice location

44-668 Kuono PL
Kaneohe, HI 96744-2539

Mailing address

PO Box 700309
Kapolei, HI 96709-0309
Phone (808) 744-0517

Other identifiers 1

IdentifierTypeStateIssuer
00A876080MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060822000323 CA Practitioner - Anesthesiology 7719980226 Reassigns benefits to 1 organization
I20140103000827 HI Practitioner - Anesthesiology 7719980226 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Hawaii John a. Burns School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Koolau Anesthesia Group LLCGroup PAC ID 3274929724, 20 clinicians
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

640 Ulukahiki St
Kailua, HI 96734-4454
Phone (808) 263-5500

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A87608CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newport Harbor Anesthesia Consultants Medical Group Inc Anesthesiology CurrentSince Oct 1, 2010 Accepting new patients
Koolau Anesthesia Group, LLC Anesthesiology CurrentSince Mar 15, 2022 Accepting new patients
Straub Clinic & Hospital CurrentSince May 24, 2016 Accepting new patients
Straub Clinic & Hospital CurrentSince May 24, 2016 Accepting new patients

Locations

1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

640 Ulukahiki St
Ste 200
Kailua, HI 96734

642 Ulukahiki St
Ste 200
Kailua, HI 96734
Phone (808) 218-6850

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1548218936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 700309",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967090309",
            "telephone_number": "808-744-0517",
            "fax_number": "808-693-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44-668 KUONO PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442539",
            "telephone_number": "415-341-7354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIMOTO",
        "first_name": "PATRICK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A87608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A876080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.