Organization Active NPI

Stuart Lerner, M.D. LLC

  • Family Medicine Physician
  • Kailua, HI
National Provider Identifier
1790032340
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-6750 Issued in HI
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

Updated by the provider on Oct 22, 2021

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
05844207MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120912000343 HI Part B Supplier - Clinic/Group Practice 9830347186 Receives reassigned benefits from 6 practitioners
Practice locations: Kailua, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2011661Stuart D Lerner LLC970 N Kalaheo Ave C316, Kailua, HI 96734Certificate of waiverAug 18, 2026

National Provider Directory

National Provider Directory

Locations

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

  • FHIR API: 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.

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.

Verify at the official NPI Registry.