Active NPI
Jeffrey Y Sue, MD
- Diagnostic Radiology Physician
- Honolulu, HI
National Provider Identifier
1790744571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD5957
- Practice address
- 1481 S King St
Suite 202
Honolulu, HI 96814-2601 - Phone
- (808) 949-0091
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD5957 | HI | Primary |
Addresses
Primary practice location
1481 S King St
Suite 202
Honolulu, HI 96814-2601
Mailing address
1481 S King St
Suite 210
Honolulu, HI 96814-2601
Phone (808) 949-0091
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B004 | Other | HI | TRICARE |
| MD5957-01 | Other | HI | QHC |
| 00B0029120 | Other | HI | HMSA |
| 02609101 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD5957 | HI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Diagnostic Radiology Services LLC | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- jeffrey.sue@hawaiihie.medicity.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Honolulu, HI
- NPI 1386714962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1790744571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1481 S KING ST",
"address_2": "SUITE 210",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142601",
"telephone_number": "808-949-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1481 S KING ST",
"address_2": "SUITE 202",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968142601",
"telephone_number": "808-949-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUE",
"first_name": "JEFFREY",
"middle_name": "Y",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD5957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "B004",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QHC",
"identifier": "MD5957-01",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00B0029120",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02609101",
"state": "HI"
}
],
"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 Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.