Active NPI
Gary W Ahn, MD
- Sports Medicine (Internal Medicine) Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- MD7115
- Practice address
- 377 Keahole St
Honolulu, HI 96825-3405 - Phone
- (808) 396-6675
- Fax
- (808) 395-2104
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | MD7115 | HI | Primary |
Addresses
Primary practice location
377 Keahole St
Honolulu, HI 96825-3405
Mailing address
838 S Beretania St
Suite 307
Honolulu, HI 96813-2524
Phone (808) 547-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068133 | Medicaid | HI |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1301 Punchbowl St
Honolulu, HI 96813-2499
1380 Lusitana St
Honolulu, HI 96813-2448
Hospital & facility affiliations
- The Queens Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.05 of 100
- Quality
- 89.81
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Queens University Medical Group | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients |
Locations
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
575 Farrington Hwy
Kapolei, HI 96707
Phone (808) 674-4006
599 Farrington Hwy
Ste 201
Kapolei, HI 96707
Phone (808) 674-9500
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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639260441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 S BERETANIA ST",
"address_2": "SUITE 307",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132524",
"telephone_number": "808-547-4600",
"fax_number": "808-547-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 KEAHOLE ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968253405",
"telephone_number": "808-396-6675",
"fax_number": "808-395-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "GARY",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "HI",
"license": "MD7115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "068133",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.