Organization Active NPI

Children's Orthopaedics of Hawaii, LLC

  • Pediatric Orthopaedic Surgery Physician
  • Aiea, HI
National Provider Identifier
1629143573
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X
Legal business name
CHILDREN'S ORTHOPAEDICS OF HAWAII, LLC
Practice address
98-1247 Kaahumanu St Ste 122
Aiea, HI 96701-5300
Phone
(808) 485-8985
Fax
(808) 485-8986
NPI assigned
Nov 22, 2006
Last updated
Feb 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Authorized official

Name
Dr. Byron Izuka, MDNPI 1831171925
Title
MD
Phone
(808) 485-8985

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XP3100X Primary

Addresses

Primary practice location

98-1247 Kaahumanu St Ste 122
Aiea, HI 96701-5300

Mailing address

98-1247 Kaahumanu St Ste 122
Aiea, HI 96701-5300
Phone (808) 485-8985

Other practice location 1

1319 Punahou St Ste 620
Honolulu, HI 96826-1044
Phone (808) 949-8985

Other identifiers 1

IdentifierTypeStateIssuer
566672MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050816001242 HI Part B Supplier - Clinic/Group Practice 3072543388 Receives reassigned benefits from 2 practitioners
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Locations

1319 Punahou St
Ste 620
Honolulu, HI 96826
Phone (808) 949-4558

1319 Punahou St
Ste 630
Honolulu, HI 96826
Phone (808) 942-3644

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1629143573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 122",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015300",
            "telephone_number": "808-485-8985",
            "fax_number": "808-485-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1247 KAAHUMANU ST STE 122",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015300",
            "telephone_number": "808-485-8985",
            "fax_number": "808-485-8986"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Punahou St Ste 620",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968261044",
            "country_code": "US",
            "telephone_number": "808-949-8985",
            "fax_number": "808-949-8986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHILDREN'S ORTHOPAEDICS OF HAWAII, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "IZUKA",
        "authorized_official_first_name": "BYRON",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "808-485-8985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "566672",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.