Individual provider Active NPI

Greg K. Sakamoto, MD

  • Dermatology Physician
  • Honolulu, HI
National Provider Identifier
1639205396
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14900 Issued in HI
Practice address
550 S Beretania St
Suite 603
Honolulu, HI 96813-2414
Phone
(808) 447-7454
Fax
(808) 447-7456
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 14900 HI Primary

Addresses

Primary practice location

550 S Beretania St
Suite 603
Honolulu, HI 96813-2414

Mailing address

550 S Beretania St
Suite 603
Honolulu, HI 96813-2414
Phone (808) 447-7454

Other identifiers 1

IdentifierTypeStateIssuer
DF520AOtherHIMEDICARE PTAN

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
I20100714000193 HI Practitioner - Dermatology 6204982523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Hawaii John a. Burns School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greg K Sakamoto MD LLCGroup PAC ID 9638201411, 3 clinicians

Practice addresses (Care Compare)

550 S Beretania St
Suite 603
Honolulu, HI 96813-2496
Phone (808) 447-7454

Merit-based Incentive Payment System (MIPS)

Final score
83.07 of 100Reported as group
Quality
66.13
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of tissue1-10
Removal of skin lesions1096
Removal of nail tissue1-10
Removal or shaving of skin growth29
Skin biopsy83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14900HIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greg K Sakamoto MD LLC Dermatology CurrentSince May 4, 2010 Accepting new patients

Locations

550 S Beretania St
Ste 603
Honolulu, HI 96813
Phone (808) 447-7454

Interoperability endpoints

  • Direct secure messaging: greg.sakamoto.1@19917.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1639205396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "SUITE 603",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132414",
            "telephone_number": "808-447-7454",
            "fax_number": "808-447-7456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "SUITE 603",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132414",
            "telephone_number": "808-447-7454",
            "fax_number": "808-447-7456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKAMOTO",
        "first_name": "GREG",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "HI",
            "license": "14900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DF520A",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.