Individual provider Active NPI

Alia Mahmoud Khoja, M.D

  • Geriatric Medicine (Internal Medicine) Physician
  • Honolulu, HI
National Provider Identifier
1710365879
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
23758 Issued in HI
Practice address
1100 Ward Ave Ste 960
Honolulu, HI 96814-1600
Phone
(808) 532-2159
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 2021038959 MO
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 70362 CT
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 23758 HI Primary

Addresses

Primary practice location

1100 Ward Ave Ste 960
Honolulu, HI 96814-1600

Mailing address

55 Merchant St FL 22
Honolulu, HI 96813-4333
Phone (808) 225-6282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211020001607 MO Practitioner - Internal Medicine 5991098717 Reassigns benefits to 1 organization
I20240229003727 HI Practitioner - Geriatric Medicine 5991098717 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23758HIMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Jan 8, 2024 Accepting new patients
Straub Clinic & Hospital CurrentSince Jan 8, 2024 Accepting new patients
Diversified Medical Enterprises Inc Past Accepting new patients
Liliha Kupuna SNF, LLC. Past Accepting new patients
Kapiolani Medical Center for Women & Children PastSince Mar 24, 2025 Accepting new patients
Straub Clinic & Hospital PastSince Mar 24, 2025 Accepting new patients

Locations

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

1100 Ward Ave
Ste 840
Honolulu, HI 96814
Phone (808) 522-4521

Organizations & group practices 7

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": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1710365879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERCHANT ST FL 22",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134333",
            "telephone_number": "808-225-6282",
            "fax_number": "808-957-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 WARD AVE STE 960",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141600",
            "telephone_number": "808-532-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOJA",
        "first_name": "ALIA",
        "middle_name": "MAHMOUD",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MO",
            "license": "2021038959",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CT",
            "license": "70362",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "23758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.