NPIMap

Individual provider Active NPI

Devin I Hazama I, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Waianae, HI
National Provider Identifier
1679005235
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
DOS-2062 Issued in HI
Practice address
89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160
Phone
(808) 697-3900
NPI assigned
Apr 1, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Geriatric Medicine (Family Medicine) Physician 207QG0300X DOS-2062 HI Primary

Addresses

Primary practice location

89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160

Mailing address

89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160
Phone (808) 697-3900

Other practice location 1

347 N. Kuakini St., HPM-9
Honolulu, HI 96817-9681
Phone (808) 523-8461

Other practice location 2

45 Mohouli St
Hawaii Island Family Medicine Residency
Hilo, HI 96720-7210
Phone (808) 932-4303

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
I20210729000339 HI Practitioner - Family PracticePractitioner - Geriatric Medicine 7719380633 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waianae District Comprehensive Health and Hospital Board Incorporated 162 clinicians
Straub Clinic and Hospital 420 clinicians

Practice addresses (Care Compare)

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

89-102 Farrington Hwy
Unit 3000
Waianae, HI 96792-4160
Phone (808) 679-3900

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS-2062HIMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Jul 13, 2021 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Current Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc CurrentSince Jul 13, 2021 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated Past Accepting new patients

Locations

89-102 Farrington Hwy
Unit 3000
Waianae, HI 96792
Phone (808) 697-3900

87-2070 Farrington Hwy
Ste N
Waianae, HI 96792

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Interoperability endpoints

  • Direct secure messaging: devin.hazama.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 5

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": "1491004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1679005235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89-102 FARRINGTON HWY UNIT 3000",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967924160",
            "telephone_number": "808-697-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-102 FARRINGTON HWY UNIT 3000",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967924160",
            "telephone_number": "808-697-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 N. KUAKINI ST., HPM-9",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968179681",
            "country_code": "US",
            "telephone_number": "808-523-8461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 Mohouli St",
            "address_2": "Hawaii Island Family Medicine Residency",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967207210",
            "country_code": "US",
            "telephone_number": "808-932-4303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAZAMA",
        "first_name": "DEVIN",
        "middle_name": "I",
        "name_suffix": "I",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-01",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "DOS-2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.