NPIMap

Individual provider Active NPI

Brent K Uyeno, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1649227158
Registry record updated Jun 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD10216 Issued in HI
Practice address
405 N Kuakini St
Suite 1002
Honolulu, HI 96817-6300
Phone
(808) 536-0708
Fax
(808) 536-0502
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD10216 HI Primary
Pediatrics Physician 208000000X MD10216 HI

Addresses

Primary practice location

405 N Kuakini St
Suite 1002
Honolulu, HI 96817-6300

Mailing address

PO Box 235912
Honolulu, HI 96823-3517
Phone (808) 536-0708

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050715000942 HI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8224929690 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

405 N Kuakini St
Suite 1002
Honolulu, HI 96817-6301
Phone (808) 536-0708

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10216HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine/Pediatric Assoc., LLC Internal Medicine PastSince Jun 26, 2001 Accepting new patients
Brent K Uyeno MD Internal Medicine PastSince Jan 1, 1990 Accepting new patients
Oahu Gastroenterology Inc PastSince May 14, 2007 Accepting new patients
Pacific Training Program Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: brent.uyeno@10711453466628.direct.elationemr.com

Organizations & group practices 4

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 7

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370908800000",
    "number": "1649227158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235912",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968233517",
            "telephone_number": "808-536-0708",
            "fax_number": "808-536-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 1002",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-536-0708",
            "fax_number": "808-536-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UYENO",
        "first_name": "BRENT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2013-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD10216",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD10216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.