Active NPI
Stuart Lerner, M.D. LLC
- Family Medicine Physician
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-6750
- Legal business name
- STUART LERNER, M.D. LLC
- Practice address
- 970 N Kalaheo Ave Ste C316
Kailua, HI 96734-1883 - Phone
- (180) 895-4446
- NPI assigned
- Aug 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maryanne McCloskey
- Title
- Manager
- Phone
- (808) 954-4463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-6750 | HI | Primary |
Addresses
Primary practice location
970 N Kalaheo Ave Ste C316
Kailua, HI 96734-1883
Mailing address
970 N Kalaheo Ave Ste C316
Kailua, HI 96734-1883
Phone (180) 895-4446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05844207 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D2011661 | Stuart D Lerner LLC | Certificate of waiver | Aug 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
660 Kailua Rd
Kailua, HI 96734
Phone (808) 263-2273
970 N Kalaheo Ave
Ste C316
Kailua, HI 96734
Phone (808) 488-5555
30 Aulike St
Ste 302
Kailua, HI 96734
Phone (808) 263-6692
Interoperability endpoints
- https://api.platform.athenahealth.com/23251/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- Honolulu, HI
- NPI 1861634412
-
- Family Nurse Practitioner
- Kailua, HI
- NPI 1538597612
-
- Adult Health Nurse Practitioner
- Waianae, HI
- NPI 1548763121
-
- Family Nurse Practitioner
- Honolulu, HI
- NPI 1366943201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634860800000",
"number": "1790032340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "970 N KALAHEO AVE STE C316",
"city": "KAILUA",
"state": "HI",
"postal_code": "967341883",
"telephone_number": "180-895-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "970 N KALAHEO AVE STE C316",
"city": "KAILUA",
"state": "HI",
"postal_code": "967341883",
"telephone_number": "180-895-4446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STUART LERNER, M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-13",
"last_updated": "2021-10-22",
"certification_date": "2021-10-22",
"status": "A",
"authorized_official_last_name": "MCCLOSKEY",
"authorized_official_first_name": "MARYANNE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "808-954-4463"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "HI",
"license": "MD-6750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05844207",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.