Active NPI
Robert Kistner, M.D.
- Vascular Surgery Physician
- Honolulu, HI
National Provider Identifier
1568541506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 1571
- Practice address
- 848 S Beretania St
Ste 307
Honolulu, HI 96813-2551 - Phone
- (808) 532-8346
- Fax
- (808) 532-2240
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 1571 | HI | Primary |
Addresses
Primary practice location
848 S Beretania St
Ste 307
Honolulu, HI 96813-2551
Mailing address
848 S Beretania St
Ste 307
Honolulu, HI 96813-2551
Phone (808) 532-8346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1571 | HI | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kistner Vein Clinic | Vascular Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Vascular Surgery Physician
- Honolulu, HI
- NPI 1467531400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267660800000",
"number": "1568541506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 S BERETANIA ST",
"address_2": "STE 307",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132551",
"telephone_number": "808-532-8346",
"fax_number": "808-532-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 S BERETANIA ST",
"address_2": "STE 307",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132551",
"telephone_number": "808-532-8346",
"fax_number": "808-532-2240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISTNER",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2010-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "HI",
"license": "1571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.