Individual provider Active NPI

Rudolf Johann Kuszmider, M.D.

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1689750978
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD13115 Issued in HI
Practice address
1133 Waimanu St Apt 1701
Honolulu, HI 96814-4256
Phone
(808) 218-1284
Fax
(808) 596-8185
NPI assigned
Oct 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD13115 HI Primary

Addresses

Primary practice location

1133 Waimanu St Apt 1701
Honolulu, HI 96814-4256

Mailing address

PO Box 22447
Honolulu, HI 96823-2447
Phone (808) 218-1284

Other identifiers 1

IdentifierTypeStateIssuer
07123500MedicaidHI

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
I20050922000307 HI Practitioner - Psychiatry 1658322391 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
East-West Institute for Health & Research LLC Psychiatry CurrentSince Nov 19, 2024 Accepting new patients
State of Hawaii Department of Health Psychiatry Past Accepting new patients
Vo of Arizona, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1689750978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22447",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968232447",
            "telephone_number": "808-218-1284",
            "fax_number": "808-596-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 WAIMANU ST APT 1701",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144256",
            "telephone_number": "808-218-1284",
            "fax_number": "808-596-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSZMIDER",
        "first_name": "RUDOLF",
        "middle_name": "JOHANN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-29",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD13115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07123500",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.