Active NPI
Travis Hideki Nakamura, M.D.
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1669560306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD-12774
- Practice address
- 405 N Kuakini St
Suite #1011
Honolulu, HI 96817-6300 - Phone
- (808) 596-7791
- Fax
- (808) 440-2255
- NPI assigned
- Oct 10, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-12774 | HI | Primary |
Addresses
Primary practice location
405 N Kuakini St
Suite #1011
Honolulu, HI 96817-6300
Mailing address
405 N Kuakini St
Suite #1011
Honolulu, HI 96817-6300
Phone (808) 596-7791
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 57568101 | 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051008000154 | HI | Practitioner - Internal Medicine | 8729003793 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Hawaii John a. Burns School of Medicine, 2001
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
405 N Kuakini St
Suite 1011
Honolulu, HI 96817-6301
Phone (808) 596-7791
Hospital & facility affiliations
- Kuakini Medical Center
- The Queens Medical Center
- Straub Clinic and Hospital
- Kapiolani Medical Center for Women & Children
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine Honolulu LLC | Internal Medicine | Current | Accepting new patients |
| Claudine Kimura, MD, Inc | Internal Medicine | Current | Accepting new patients |
Locations
405 N Kuakini St
Ste 1011
Honolulu, HI 96817
Phone (808) 596-7791
Interoperability endpoints
- https://api.platform.athenahealth.com/13644/brand/1/csg/1/fhir/r4
- travis.nakamura@hawaiihie.medicity.net
- travis.nakamura@4838983204868.direct.elationemr.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1598024630
HI, Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Honolulu, HI
- NPI 1043263080
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1669560306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N KUAKINI ST",
"address_2": "SUITE #1011",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968176300",
"telephone_number": "808-596-7791",
"fax_number": "808-440-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N KUAKINI ST",
"address_2": "SUITE #1011",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968176300",
"telephone_number": "808-596-7791",
"fax_number": "808-440-2255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAKAMURA",
"first_name": "TRAVIS",
"middle_name": "HIDEKI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD-12774",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57568101",
"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 Nov 26, 2014; 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.