Individual provider Active NPI

Brandon Yasuo Teruya, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Honolulu, HI
National Provider Identifier
1679887533
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
17531 Issued in HI
Practice address
1329 Lusitana St
Suite 805
Honolulu, HI 96813-2429
Phone
(808) 531-7277
NPI assigned
Aug 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 17531 HI Primary
Sports Medicine (Family Medicine) Physician 207QS0010X 51232 TN

Addresses

Primary practice location

1329 Lusitana St
Suite 805
Honolulu, HI 96813-2429

Mailing address

1329 Lusitana St
Suite 805
Honolulu, HI 96813-2429
Phone (808) 531-7277

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
I20140916000821 HI Practitioner - Family PracticePractitioner - Sports Medicine 6800015306 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pacific Physical Medicine Associates LLPGroup PAC ID 2668363623, 3 clinicians
Kubo and Bihis LLCGroup PAC ID 7315030939, 4 clinicians

Practice addresses (Care Compare)

1329 Lusitana St
Honolulu, HI 96813-2435
Phone (808) 538-7700

95 -1249 Meheula Pkwy
D
Mililani, HI 96789-1779
Phone (808) 627-0330

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17531HIMDSports Medicine (Family Medicine) Physician
51232TNMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kubo and Bihis, LLC CurrentSince Nov 1, 2017 Accepting new patients

Locations

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

95-1249 Meheula Pkwy
Ste D
Mililani, HI 96789
Phone (808) 625-5222

95-1249 Meheula Pkwy
#D
Mililani, HI 96789
Phone (808) 625-5222

Interoperability endpoints

  • Direct secure messaging: brandon.teruya@35963140112388.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.

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1679887533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-531-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 805",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-531-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERUYA",
        "first_name": "BRANDON",
        "middle_name": "YASUO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "HI",
            "license": "17531",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TN",
            "license": "51232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.