Individual provider Active NPI

Susan M Vicenti, MD

  • Obstetrics & Gynecology Physician
  • Kailua, HI
National Provider Identifier
1588612147
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7824 Issued in HI
Practice address
40 Aulike St
Suite 410
Kailua, HI 96734-2758
Phone
(808) 261-3000
Fax
(808) 261-3303
NPI assigned
May 5, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7824 HI Primary

Addresses

Primary practice location

40 Aulike St
Suite 410
Kailua, HI 96734-2758

Mailing address

40 Aulike St
Suite 410
Kailua, HI 96734-2758
Phone (808) 261-3000

Other identifiers 1

IdentifierTypeStateIssuer
073127MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000306 HI Practitioner - Obstetrics/GynecologyPractitioner - Internal Medicine 5395768329 Practice locations: Kailua, HI

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7824HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Vicenti MD, LLC CurrentSince Feb 18, 2022 Accepting new patients

Locations

2 Aarona Pl
Ste 201
Kailua, HI 96734
Phone (808) 261-3000

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, 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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1588612147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 410",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342758",
            "telephone_number": "808-261-3000",
            "fax_number": "808-261-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST",
            "address_2": "SUITE 410",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342758",
            "telephone_number": "808-261-3000",
            "fax_number": "808-261-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICENTI",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "7824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073127",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.