Individual provider Active NPI

Audrey Masako Hagiwara, MD

  • Rheumatology Physician
  • Kailua, HI
National Provider Identifier
1609496983
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD-25579 Issued in HI
Practice address
642 Ulukahiki St
Kailua, HI 96734-4400
Phone
(808) 263-5095
NPI assigned
Apr 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD-25579 HI Primary

Addresses

Primary practice location

642 Ulukahiki St
Kailua, HI 96734-4400

Mailing address

642 Ulukahiki St
Kailua, HI 96734-4400
Phone (808) 263-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230407001176 CA Practitioner - Internal Medicine 0244605095 Reassigns benefits to 1 organization
I20250724002750 HI Practitioner - Rheumatology 0244605095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Hawaii John a. Burns School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Castle Medical CenterGroup PAC ID 6608762778, 77 clinicians

Practice addresses (Care Compare)

46-001 Kamehameha Hwy
Suite 102
Kaneohe, HI 96744-3720
Phone (808) 263-5009

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 14, 2023 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Jan 14, 2023 Accepting new patients
Castle Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Castle Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Castle Medical Center Current Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

321 N Kuakini St
Ste 201
Honolulu, HI 96817
Phone (808) 523-8611

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

642 Ulukahiki St
Kailua, HI 96734
Phone (808) 263-5050

46-001 Kamehameha Hwy
Ste 102
Kaneohe, HI 96744
Phone (808) 233-1100

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1609496983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344400",
            "telephone_number": "808-263-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344400",
            "telephone_number": "808-263-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGIWARA",
        "first_name": "AUDREY",
        "middle_name": "MASAKO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "HI",
            "license": "MD-25579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.