Individual provider Active NPI

Jami Fukui, MD

  • Medical Oncology Physician
  • Honolulu, HI
National Provider Identifier
1790084408
Registry record updated Mar 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
19314 Issued in HI
Practice address
1907 S Beretania St
Honolulu, HI 96826-1301
Phone
(808) 949-3444
Fax
(808) 949-7808
NPI assigned
Mar 21, 2011
Last updated
Mar 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 267618 NY
Medical Oncology Physician 207RX0202X 19314 HI Primary

Addresses

Primary practice location

1907 S Beretania St
Honolulu, HI 96826-1301

Mailing address

701 Ilalo St
Honolulu, HI 96813-5516
Phone (808) 586-5854

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
I20171115003093 HI Practitioner - Medical Oncology 0547526071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

1907 S Beretania St
Honolulu, HI 96826-1301
Phone (808) 973-5967

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 486-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267618NYMDInternal Medicine Physician
19314HIMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates CurrentSince Oct 25, 2017 Accepting new patients
University Clinical Education & Research Associates CurrentSince Oct 25, 2017 Accepting new patients
State of Hawaii, Department of Health Past Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1907 S Beretania St
Honolulu, HI 96826
Phone (808) 371-2988

677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552003200000",
    "number": "1790084408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ILALO ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135516",
            "telephone_number": "808-586-5854",
            "fax_number": "808-586-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261301",
            "telephone_number": "808-949-3444",
            "fax_number": "808-949-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUKUI",
        "first_name": "JAMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2019-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "267618",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "HI",
            "license": "19314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.