Organization Active NPI

Emi Ota, M.D., Inc.

  • Primary Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1790230480
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
18532 Issued in HI
Legal business name
EMI OTA, M.D., INC.
Practice address
850 W Hind Dr Ste 205
Honolulu, HI 96821-1845
Phone
(808) 377-3191
Fax
(808) 377-3192
NPI assigned
Aug 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

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

Authorized official

Name
Dr. Emi Ota, M.D.NPI 1609219112
Title
Physician
Phone
(808) 369-9227

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
Primary Care Clinic/Center 261QP2300X 18532 HI Primary

Addresses

Primary practice location

850 W Hind Dr Ste 205
Honolulu, HI 96821-1845

Mailing address

2235 Hoonanea St
Honolulu, HI 96822-2489
Phone (808) 369-9227

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161020002203 HI Part B Supplier - Clinic/Group Practice 3971881210 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

500 Ala Moana Blvd
Ste 2200
Honolulu, HI 96813
Phone (808) 792-8460

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14474/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

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": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1790230480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 HOONANEA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222489",
            "telephone_number": "808-369-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR STE 205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-377-3191",
            "fax_number": "808-377-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMI OTA, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "OTA",
        "authorized_official_first_name": "EMI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-369-9227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "18532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.