NPIMap

Organization Active NPI

Hawaii Permanente Medical Group Inc

  • Health Maintenance Organization
  • Honolulu, HI
National Provider Identifier
1710945969
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
HAWAII PERMANENTE MEDICAL GROUP INC
Practice address
3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone
(808) 432-0000
NPI assigned
May 3, 2006
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Dr. Christopher B. Stefanelli, MDNPI 1841227907
Title
Asst. Med Director Business SVCS
Phone
(808) 432-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X NU Primary

Addresses

Primary practice location

3288 Moanalua Rd
Honolulu, HI 96819-1469

Mailing address

3288 Moanalua Rd
Honolulu, HI 96819-1469
Phone (808) 432-0000

Other identifiers 1

IdentifierTypeStateIssuer
00B000916-3OtherHIHMSA PROVIDER NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031106000625 HI Part B Supplier - Clinic/Group Practice 7618880667 Receives reassigned benefits from 1,292 practitioners
Practice locations: Kapolei, HI; Waipahu, HI; Wailuku, HI; Waianae, HI; Lihue, HI; Lahaina, HI; Kihei, HI; Kaneohe, HI…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

  • Usrc Waianae, LLC

    dba U.S. Renal Care Waianae Dialysis

    • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
    • Waianae, HI
    • NPI 1578160909

    Member Of

    NPD member

Locations

400 Parnassus Ave
Ste A581
San Francisco, CA 94143
Phone (415) 353-4364

98-1005 Moanalua Rd
Spc 1000
Aiea, HI 96701
Phone (808) 432-3081

58-130 Kamehameha Hwy
Haleiwa, HI 96712
Phone (480) 987-2053

500 Ala Moana Blvd
#B
Honolulu, HI 96813

5113 Maunalani Cir
Honolulu, HI 96816
Phone (808) 732-0771

201 Hamakua Dr
Kailua, HI 96734
Phone (808) 432-3400

45-181 Waikalua Rd
Kaneohe, HI 96744
Phone (808) 247-0003

45-545 Kamehameha Hwy
Kaneohe, HI 96744
Phone (808) 247-2220

81-6350 Mamalahoa Hwy
Unit 2
Kealakekua, HI 96750

2301 Kaanapali Pkwy
Lahaina, HI 96761
Phone (808) 463-4616

87-2116 Farrington Hwy
Waianae, HI 96792
Phone (808) 432-3500

2073 Wells St
Ste 101
Wailuku, HI 96793

Practitioners & affiliated clinicians

Practitioners 1,377

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 1,377

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1710945969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3288 MOANALUA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191469",
            "telephone_number": "808-432-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3288 MOANALUA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191469",
            "telephone_number": "808-432-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII PERMANENTE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "STEFANELLI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ASST. MED DIRECTOR BUSINESS SVCS",
        "authorized_official_telephone_number": "808-432-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER NUMBER",
            "identifier": "00B000916-3",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "3288 Moanalua Rd",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968191469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.