Individual provider Active NPI

Michael N. Kurosawa, M.D.

  • Internal Medicine Physician
  • Aiea, HI
National Provider Identifier
1639242829
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-7865 Issued in HI
Practice address
98-151 Pali Momi St
Suite 142
Aiea, HI 96701-4300
Phone
(808) 483-6400
Fax
(808) 483-6487
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-7865 HI Primary

Addresses

Primary practice location

98-151 Pali Momi St
Suite 142
Aiea, HI 96701-4300

Mailing address

98-151 Pali Momi St
Suite 142
Aiea, HI 96701-4300
Phone (808) 483-6400

Other identifiers 3

IdentifierTypeStateIssuer
0000095273OtherHIHMSA
073314MedicaidHI
3214444OtherHIUHA

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
I20100503000749 HI Practitioner - Internal Medicine 8123919289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-7865HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Dec 23, 2001 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 23, 2001 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

98-151 Pali Momi St
Ste 142
Aiea, HI 96701
Phone (808) 483-6400

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331856000000",
    "number": "1639242829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-151 PALI MOMI ST",
            "address_2": "SUITE 142",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014300",
            "telephone_number": "808-483-6400",
            "fax_number": "808-483-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-151 PALI MOMI ST",
            "address_2": "SUITE 142",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014300",
            "telephone_number": "808-483-6400",
            "fax_number": "808-483-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUROSAWA",
        "first_name": "MICHAEL",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-7865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000095273",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073314",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "3214444",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.