Organization Active NPI

Darren K Egami MD, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Wailuku, HI
National Provider Identifier
1750629424
Registry record updated Dec 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
DARREN K EGAMI MD, LLC
Practice address
1885 Main St Ste 104
Wailuku, HI 96793-1827
Phone
(808) 244-7740
Fax
(808) 244-7754
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2020

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

Authorized official

Name
Dr. Darren Ken Egami, M.D.NPI 1265584502
Title
Doctor
Phone
(808) 244-7740

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
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

1885 Main St Ste 104
Wailuku, HI 96793-1827

Mailing address

1885 Main St Ste 104
Wailuku, HI 96793-1827
Phone (808) 244-7740

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130314000131 HI Part B Supplier - Clinic/Group Practice 5698979904 Receives reassigned benefits from 1 practitioner
Practice locations: Kihei, HI; Lahaina, HI; Wailuku, HI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1885 Main St
Ste 104
Wailuku, HI 96793
Phone (808) 244-7740

99 S Market St
Ste 204
Wailuku, HI 96793
Phone (608) 244-7740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1750629424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST STE 104",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931827",
            "telephone_number": "808-244-7740",
            "fax_number": "808-244-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 MAIN ST STE 104",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931827",
            "telephone_number": "808-244-7740",
            "fax_number": "808-244-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARREN K EGAMI MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "EGAMI",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "808-244-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.