Organization Active NPI

Kuakini Medical Center

  • Radiation Oncology Physician
  • Honolulu, HI
National Provider Identifier
1669138707
Registry record updated Nov 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
KUAKINI MEDICAL CENTER
Practice address
347 N Kuakini St
Honolulu, HI 96817-2306
Phone
(808) 547-9231
NPI assigned
Nov 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2021

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

Authorized official

Name
Gregg Oishi
Title
Administrator
Phone
(808) 547-9231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

347 N Kuakini St
Honolulu, HI 96817-2306

Mailing address

Lockbox #5422 PO Box 31000
Honolulu, HI 96849-0001
Phone (808) 547-9231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001058 HI Part B Supplier - Clinic/Group Practice 4981593910 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Kuakini Ho S Pital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

405 N Kuakini St
Honolulu, HI 96817
Phone (808) 521-5220

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kuakini Medical CenterHonolulu, HI, CCN 120007 Hospital Operational/Managerial Control Aug 26, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636675200000",
    "number": "1669138707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOCKBOX #5422 PO BOX 31000",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968490001",
            "telephone_number": "808-547-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 N KUAKINI ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172306",
            "telephone_number": "808-547-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUAKINI MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-11-12",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "OISHI",
        "authorized_official_first_name": "GREGG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "808-547-9231"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.