Organization Active NPI

Robert V Jao MD Inc a Hawaii Corporation

  • Specialist
  • Kailua, HI
National Provider Identifier
1548419005
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD9896 Issued in HI
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

Updated by the provider on Dec 2, 2022

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.NPI 1285707547
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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00232801MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081231000090 HI Part B Supplier - Clinic/Group Practice 1658433503 Receives reassigned benefits from 2 practitioners
Practice locations: Kailua, HI; Honolulu, HI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.