Individual provider Active NPI

Dennis I Maehara, MD

  • Ophthalmology Physician
  • Honolulu, HI
National Provider Identifier
1760589667
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2131 Issued in HI
Practice address
1441 Kapiolani Blvd #1419
Honolulu, HI 96814
Phone
(808) 955-3937
Fax
(808) 955-3930
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 2131 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd #1419
Honolulu, HI 96814

Mailing address

1441 Kapiolani Blvd #1419
Honolulu, HI 96814
Phone (808) 955-3937

Other identifiers 1

IdentifierTypeStateIssuer
032240MedicaidHI

Other names 1

  • Dr. Dennis I Maehara Professional name

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
I20050929001342 HI Practitioner - Ophthalmology 5496645301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Tulane University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1441 Kapiolani Blvd
Honolulu, HI 96814-4407
Phone (808) 955-3937

94 -239 Waipahu Depot St
Suite 109
Waipahu, HI 96797-3056
Phone (808) 671-3782

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9131HIMDInternal Medicine Physician
2131HIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maehara Eye Surgery & Laser LLC Ophthalmology CurrentSince Nov 1, 2009 Accepting new patients
Dennis I. Maehara, M.D., Inc. PastSince Jan 1, 1990 Accepting new patients
Dennis Issei Maehara MD Inc Ophthalmology PastSince Jan 1, 1990 Accepting new patients

Locations

1441 Kapiolani Blvd
Ste 1419
Honolulu, HI 96814
Phone (808) 955-3937

94-239 Waipahu Depot St
Ste 105
Waipahu, HI 96797
Phone (808) 671-3782

94-239 Waipahu Depot St
Waipahu, HI 96797
Phone (808) 671-1000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1760589667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD #1419",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-955-3937",
            "fax_number": "808-955-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD #1419",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96814",
            "telephone_number": "808-955-3937",
            "fax_number": "808-955-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAEHARA",
        "first_name": "DENNIS",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "HI",
            "license": "2131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032240",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "MAEHARA",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.