NPIMap

Organization Active NPI

Hawaii Gastroenterology Specialist

Doing business as GI Clinic

  • Gastroenterology Physician
  • Aiea, HI
National Provider Identifier
1790033454
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
HAWAII GASTROENTEROLOGY SPECIALIST
Doing business as
GI Clinic
Practice address
98-211 Pali Momi St Ste 312
Aiea, HI 96701-4306
Phone
(808) 486-0449
NPI assigned
Aug 28, 2012
Last updated
Jan 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Dr. Yousif I A Rahim, MD PHDNPI 1740213990
Title
Ceo
Phone
(808) 486-0449

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
Gastroenterology Physician 207RG0100X Primary

Addresses

Primary practice location

98-211 Pali Momi St Ste 312
Aiea, HI 96701-4306

Mailing address

98-211 Pali Momi St Ste 312
Aiea, HI 96701-4306
Phone (808) 486-0449

Other names 1

  • GI Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130103000326 HI Part B Supplier - Clinic/Group Practice 7618120437 Receives reassigned benefits from 8 practitioners
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1790033454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 312",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014306",
            "telephone_number": "808-486-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-211 PALI MOMI ST STE 312",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014306",
            "telephone_number": "808-486-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII GASTROENTEROLOGY SPECIALIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "A RAHIM",
        "authorized_official_first_name": "YOUSIF",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-486-0449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD PHD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GI Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.