Active NPI
Robert V Jao MD Inc a Hawaii Corporation
- Specialist
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD9896
- Legal business name
- ROBERT V JAO MD INC A HAWAII CORPORATION
- Practice address
- 407 Uluniu St Ste 113
Kailua, HI 96734-2531 - Phone
- (088) 263-4665
- Fax
- (808) 263-4718
- NPI assigned
- Sep 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert V Jao, M.D.
- Title
- President/Physician
- Phone
- (808) 263-4665
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD9896 | HI | Primary |
Addresses
Primary practice location
407 Uluniu St Ste 113
Kailua, HI 96734-2531
Mailing address
642 Ulukahiki St
Suite 100
Kailua, HI 96734-4400
Phone (808) 263-4665
Other practice location 1
405 N Kuakini St Ste 902
Honolulu, HI 96817-6302
Phone (808) 263-4665
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00232801 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
405 N Kuakini St
Ste 902
Honolulu, HI 96817
Phone (808) 263-4665
407 Uluniu St
Ste 113
Kailua, HI 96734
Phone (808) 380-3980
642 Ulukahiki St
Ste 200
Kailua, HI 96734
Phone (808) 218-6850
642 Ulukahiki St
Ste 100
Kailua, HI 96734
Phone (808) 262-0606
55-220 Kulanui St
Ste 1728
Laie, HI 96762
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Kailua, HI
- NPI 1881396695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669939200000",
"number": "1548419005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "642 ULUKAHIKI ST",
"address_2": "SUITE 100",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344400",
"telephone_number": "808-263-4665",
"fax_number": "808-263-4718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 ULUNIU ST STE 113",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342531",
"telephone_number": "088-263-4665",
"fax_number": "808-263-4718"
}
],
"practiceLocations": [
{
"address_1": "405 N Kuakini St Ste 902",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968176302",
"country_code": "US",
"telephone_number": "808-263-4665",
"fax_number": "808-263-4718",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ROBERT V JAO MD INC A HAWAII CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-09",
"last_updated": "2022-12-02",
"certification_date": "2022-12-02",
"status": "A",
"authorized_official_last_name": "JAO",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "808-263-4665",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "HI",
"license": "MD9896",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00232801",
"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 Dec 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.