Individual provider Active NPI

Blane Kalani Chong, M. D.

  • Sports Medicine (Family Medicine) Physician
  • Honolulu, HI
National Provider Identifier
1669584967
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
9183 Issued in HI
Practice address
3221 Waialae Ave
Suite 390
Honolulu, HI 96816-5842
Phone
(808) 732-9710
Fax
(808) 732-9720
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 9183 HI Primary

Addresses

Primary practice location

3221 Waialae Ave
Suite 390
Honolulu, HI 96816-5842

Mailing address

3221 Waialae Ave
Suite 390
Honolulu, HI 96816-5842
Phone (808) 732-9710

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
I20041001000461 HI Practitioner - Family PracticePractitioner - Sports Medicine 3072582444 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3221 Waialae Ave
Suite 390
Honolulu, HI 96816-5850
Phone (808) 732-9710

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9183HIMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blane K. Chong, MD Sports Medicine and Family Practice LLC CurrentSince May 1, 2021 Accepting new patients
Craig Y. Hamasaki, M.D., LLC PastSince Dec 27, 2013 Accepting new patients

Locations

3221 Waialae Ave
Ste 390
Honolulu, HI 96816
Phone (808) 732-9710

707 Richards St
Ste 525
Honolulu, HI 96813

Interoperability endpoints

  • Direct secure messaging: blane.chong@35736999690244.direct.elationemr.com
  • Direct secure messaging: blane.chong.1@12727.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12727/brand/1/csg/21/fhir/r4

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.

Hospital & facility affiliations 1

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1669584967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE",
            "address_2": "SUITE 390",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165842",
            "telephone_number": "808-732-9710",
            "fax_number": "808-732-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 WAIALAE AVE",
            "address_2": "SUITE 390",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165842",
            "telephone_number": "808-732-9710",
            "fax_number": "808-732-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG",
        "first_name": "BLANE",
        "middle_name": "KALANI",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "HI",
            "license": "9183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.