Individual provider Active NPI

Justin Mitsuo Hino, M.D.

  • Pediatrics Physician
  • Kaneohe, HI
National Provider Identifier
1700106788
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
16894 Issued in HI
Practice address
46-056 Kamehameha Hwy Ste 221
Kaneohe, HI 96744-6706
Phone
(808) 233-6200
Fax
(808) 233-6255
NPI assigned
Jun 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 16894 HI Primary

Addresses

Primary practice location

46-056 Kamehameha Hwy Ste 221
Kaneohe, HI 96744-6706

Mailing address

46-056 Kamehameha Hwy Ste 221
Kaneohe, HI 96744-6706
Phone (808) 233-6200

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
I20130716000856 HI Practitioner - Pediatric Medicine 3375783277 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16894HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Jan 10, 2018 Accepting new patients
Kapiolani Medical Specialists CurrentSince Jul 1, 2013 Accepting new patients
Straub Clinic & Hospital CurrentSince Jan 10, 2018 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

1319 Punahou St
#742
Honolulu, HI 96826
Phone (808) 983-8387

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

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

46-056 Kamehameha Hwy
Ste G1
Kaneohe, HI 96744
Phone (808) 233-6200

46-056 Kamehameha Hwy
Ste 221
Kaneohe, HI 96744
Phone (808) 233-6200

Organizations & group practices 5

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1700106788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY STE 221",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967446706",
            "telephone_number": "808-233-6200",
            "fax_number": "808-233-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-056 KAMEHAMEHA HWY STE 221",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967446706",
            "telephone_number": "808-233-6200",
            "fax_number": "808-233-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINO",
        "first_name": "JUSTIN",
        "middle_name": "MITSUO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "16894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.