Individual provider Active NPI

Christopher Ken Teramura, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Kailua, HI
National Provider Identifier
1720137573
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO-157 Issued in HI
Practice address
40 Aulike St Ste 414
Kailua, HI 96734-2757
Phone
(808) 261-3264
Fax
(808) 261-3295
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

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
Foot & Ankle Surgery Podiatrist 213ES0103X PO-157 HI Primary

Addresses

Primary practice location

40 Aulike St Ste 414
Kailua, HI 96734-2757

Mailing address

1110 Akipohe St Apt a
Kailua, HI 96734-4247
Phone (808) 261-3264

Other identifiers 1

IdentifierTypeStateIssuer
53838201MedicaidHI

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000133 HI Practitioner - Podiatry 6901704840 Practice locations: Kailua, HI

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

40 Aulike St
Suite 414
Kailua, HI 96734-2757
Phone (808) 561-0638

Hospital & facility affiliations

  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO-157HIMDFoot & Ankle Surgery Podiatrist

Interoperability endpoints

  • Direct secure messaging: christopher.teramura@61536456540164.direct.elationemr.com

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720137573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 AKIPOHE ST APT A",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344247",
            "telephone_number": "808-261-3264",
            "fax_number": "808-261-3295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AULIKE ST STE 414",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342757",
            "telephone_number": "808-261-3264",
            "fax_number": "808-261-3295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAMURA",
        "first_name": "CHRISTOPHER",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "HI",
            "license": "PO-157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53838201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.