Emi Ota, M.D., PH.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

18532 Issued in HI

Practice address

2250 Kalakaua Ave Ste 407
Honolulu, HI 96815-2546

Phone

(808) 367-0513

Fax

(808) 367-0514

NPI assigned

Apr 15, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Family Practice

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Group practices

St Lukes Clinic-Ala Moana IncGroup PAC ID 5597656637, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14474/brand/1/csg/1/fhir/r4
• Direct secure messaging: emi.ota.1@14474.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/17547/brand/1/csg/1/fhir/r4

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.

• Emi Ota, M.D., Inc.

  • Primary Care Clinic/Center
  • Honolulu, HI
  • NPI 1790230480
  Medicare reassignment NPD Authorized official
• St Lukes Clinic-Ala Moana Inc

  • Surgery Physician
  • Honolulu, HI
  • NPI 1568494730
  Medicare reassignment Care Compare group NPD
• Ken Health Care International, Inc.

  • Primary Care Clinic/Center
  • Honolulu, HI
  • NPI 1689024895
  NPD (past) Authorized official
• Oahu Natural Care, LLC

  • Naturopath
  • Honolulu, HI
  • NPI 1497274146
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kapiolani Medical Center for Women & Children

  • Children's Hospital
  • Honolulu, HI
  • NPI 1043263080
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1609219112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 KALAKAUA AVE STE 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152546",
            "telephone_number": "808-367-0513",
            "fax_number": "808-367-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 KALAKAUA AVE STE 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152546",
            "telephone_number": "808-367-0513",
            "fax_number": "808-367-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTA",
        "first_name": "EMI",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-15",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR-6474",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "18532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Ostrum
• Ashley Osumi, MD
• OT to You LLC
• Daniel Ota, MD
• David Haruo Ota, DDS
• Jennifer Ota, PHARMD
• Kristen Kiyomi Ota
• Lennie Ota
• Travis-Mitchell Ota
• Winston Y Ota, M.D.

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.