Active NPI
Ronnie Trevor Otieno, DO
- Family Medicine Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DOS-2674-0
- Practice address
- 1441 Kapiolani Blvd Ste 2020
Honolulu, HI 96814-4408 - Phone
- (808) 439-6201
- NPI assigned
- Apr 20, 2021
- Last updated
- Aug 13, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2024-01933 | NC | |
| Family Medicine Physician | 207Q00000X | DOS-2674-0 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd Ste 2020
Honolulu, HI 96814-4408
Mailing address
1441 Kapiolani Blvd Ste 2020
Honolulu, HI 96814-4408
Phone (808) 439-6201
Other practice location 1
94-673 Kupuohi St
Waipahu, HI 96797-5367
Phone (808) 439-6201
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1380 Lusitana St
Suite 808
Honolulu, HI 96813-2444
Phone (808) 439-6201
75 Puuhonu PL
Suite 204
Hilo, HI 96720-2000
Phone (808) 439-6201
94 -673 Kupuohi St
Suite C205
Waipahu, HI 96797-5373
Phone (808) 439-6201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-2674-0 | HI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul N Morton LLC | Current | Accepting new patients | |
| Henderson County Urgent Care Center Inc | Current | Accepting new patients | |
| Paul N Morton LLC | Current | Accepting new patients | |
| Henderson County Hospital Corporation | Family Medicine | Past | Accepting new patients |
Locations
1380 Lusitana St
Ste 808
Honolulu, HI 96813
Phone (808) 439-6201
1441 Kapiolani Blvd
Ste 2020
Honolulu, HI 96814
Phone (808) 439-6201
212 Thompson St
Ste A
Hendersonvlle, NC 28792
Phone (828) 697-3232
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Honolulu, HI
- NPI 1932710894
-
dba Pardee Urgent Care Four Seasons
- Urgent Care Clinic/Center
- Hendersonville, NC
- NPI 1518971910
-
- Orthopaedic Surgery Physician
- Waipahu, HI
- NPI 1366312936
-
dba Pardee Medical Associates
- Multi-Specialty Clinic/Center
- Hendersonville, NC
- NPI 1447444559
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1760063739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD STE 2020",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144408",
"telephone_number": "808-439-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD STE 2020",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144408",
"telephone_number": "808-439-6201"
}
],
"practiceLocations": [
{
"address_1": "94-673 Kupuohi St",
"address_purpose": "LOCATION",
"city": "Waipahu",
"state": "HI",
"postal_code": "967975367",
"country_code": "US",
"telephone_number": "808-439-6201",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OTIENO",
"first_name": "RONNIE",
"middle_name": "TREVOR",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-20",
"last_updated": "2025-08-13",
"certification_date": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2024-01933",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "DOS-2674-0",
"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 Aug 13, 2025; 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.