Individual provider Active NPI

Jeffrey R Maehara, MD

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1689771586
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD11924 Issued in HI
Practice address
1441 Kapiolani Blvd #1419
Honolulu, HI 96814
Phone
(808) 955-3937
Fax
(808) 955-3930
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD11924 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd #1419
Honolulu, HI 96814

Mailing address

1441 Kapiolani Blvd #1419
Honolulu, HI 96814
Phone (808) 955-3937

Other identifiers 1

IdentifierTypeStateIssuer
530966MedicaidHI

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
I20091117000674 HI Practitioner - Ophthalmology 9436297199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maehara Eye Surgery and Laser LLCGroup PAC ID 5294873949, 2 clinicians

Practice addresses (Care Compare)

1441 Kapiolani Blvd
Honolulu, HI 96814-4407
Phone (808) 955-3937

94 -239 Waipahu Depot St
Suite 109
Waipahu, HI 96797-3056
Phone (808) 671-3782

Merit-based Incentive Payment System (MIPS)

Final score
19.95 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
66.5

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11924HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maehara Eye Surgery & Laser LLC Ophthalmology CurrentSince Dec 30, 2008 Accepting new patients
Maehara Eye Surgery & Laser LLC Ophthalmology CurrentSince Nov 1, 2009 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

1441 Kapiolani Blvd
Ste 1419
Honolulu, HI 96814
Phone (808) 955-3937

94-239 Waipahu Depot St
Ste 105
Waipahu, HI 96797
Phone (808) 671-3782

Organizations & group practices 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689771586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD #1419",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-955-3937",
            "fax_number": "808-955-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD #1419",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-955-3937",
            "fax_number": "808-955-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEHARA",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "MD11924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530966",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.