Individual provider Active NPI

Richard A. Ridao, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1730122060
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
6904 Issued in HI
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, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060112000315 HI Practitioner - Internal Medicine 6507889839 Reassigns benefits to 3 organizations

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
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

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

LicenseStateTypeSpecialty
6904HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Jan 3, 2020 Accepting new patients
The Queens Medical Center CurrentSince Jan 3, 2020 Accepting new patients
The Queen's Medical Center Current Accepting new patients
Queens University Medical Group CurrentSince Apr 20, 2025 Accepting new patients
Castle Medical Center PastSince Aug 28, 2021 Accepting new patients
Glenda V. Malana, M.D. LLC PastSince Dec 1, 2007 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.