Internal Medicine Honolulu LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 12774 Issued in HI

Legal business name

INTERNAL MEDICINE HONOLULU LLC

Practice address

405 N Kuakini St
Suite 1011
Honolulu, HI 96817-6300

Phone

(808) 596-7791

Fax

(808) 440-2255

NPI assigned

May 10, 2012

Organization subpart

No

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

Authorized official

Name

Travis Hideki Nakamura, MDNPI 1669560306

Title

Owner

Phone

(808) 596-7791

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13644/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Hideki Nakamura, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1669560306

  HI, Internal Medicine

  Medicare reassignment NPD Authorized official
• Claudine K. Y. Kimura, M.D.

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1972616670

  Internal Medicine

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1598024630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 1011",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-596-7791",
            "fax_number": "808-440-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 1011",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-596-7791",
            "fax_number": "808-440-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE HONOLULU LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "NAKAMURA",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "HIDEKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-596-7791",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD 12774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Honolulu, HI
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.