Active NPI
Richard A. Ridao, M.D.
- Internal Medicine Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 6904
- Practice address
- 1451 S King St
Ste 309
Honolulu, HI 96814-2506 - Phone
- (808) 593-2155
- Fax
- (808) 593-2156
- NPI assigned
- Jun 14, 2006
- Last updated
- Feb 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 6904 | HI | Primary |
Addresses
Primary practice location
1451 S King St
Ste 309
Honolulu, HI 96814-2506
Mailing address
1451 S King St
Ste 309
Honolulu, HI 96814-2506
Phone (808) 593-2155
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Hawaii John a. Burns School of Medicine, 1988
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1380 Lusitana St
Honolulu, HI 96813-2448
1451 S King St
Suite 309
Honolulu, HI 96814-2509
Phone (808) 593-2155
91 -6390 Kapolei Pkwy
Ewa Beach, HI 96706-6380
Phone (808) 735-0007
98-199 Kamehameha Hwy
BLDG F
Aiea, HI 96701-4821
Phone (808) 735-0007
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6904 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Queens Medical Center | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| The Queen's Medical Center | Current | Accepting new patients | |
| Queens University Medical Group | Current | Accepting new patients | |
| Castle Medical Center | Past | Accepting new patients | |
| Glenda V. Malana, M.D. LLC | Past | Accepting new patients |
Locations
91-2139 Fort Weaver Rd
#30
Ewa Beach, HI 96706
Phone (808) 678-1900
91-2139 Fort Weaver Rd
Ste 302
Ewa Beach, HI 96706
Phone (775) 219-6855
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521
377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427
449 Kapahulu Ave
Ste 104
Honolulu, HI 96815
Phone (800) 735-0007
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IJIFAA/Endpoint/IJIFAA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1891441382
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1932304565
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
dba Queen's Island Urgent Care
- Urgent Care Clinic/Center
- Ewa Beach, HI
- NPI 1417580275
-
- Urgent Care Clinic/Center
- Pearl City, HI
- NPI 1598431348
-
- Geriatric Medicine (Internal Medicine) Physician
- Ewa Beach, HI
- NPI 1629257498
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Honolulu, HI
- NPI 1043263080
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1730122060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1451 S KING ST",
"address_2": "STE 309",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142506",
"telephone_number": "808-593-2155",
"fax_number": "808-593-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1451 S KING ST",
"address_2": "STE 309",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142506",
"telephone_number": "808-593-2155",
"fax_number": "808-593-2156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDAO",
"first_name": "RICHARD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "6904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.