Individual provider Active NPI

Ann Soraya Harada, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1801843842
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18282 Issued in HI
Practice address
1329 Lusitana St Ste 600
Honolulu, HI 96813-2434
Phone
(808) 773-8678
Fax
(808) 773-8679
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18282 HI Primary

Addresses

Primary practice location

1329 Lusitana St Ste 600
Honolulu, HI 96813-2434

Mailing address

1585 Kapiolani Blvd Ste 1800
Honolulu, HI 96814-4500
Phone (808) 941-3363

Other identifiers 1

IdentifierTypeStateIssuer
100509207MedicaidNV

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
I20151015000601 HI Practitioner - Internal Medicine 4385655588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1329 Lusitana St
Suite 600
Honolulu, HI 96813-2434
Phone (808) 773-8678

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18282HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ann S Harada, MD LLC Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Sierra Hospitalists LLC Internal Medicine Past Accepting new patients

Locations

1585 Kapiolani Blvd
Ste 1800
Honolulu, HI 96814
Phone (808) 545-2800

1329 Lusitana St
Ste 600
Honolulu, HI 96813
Phone (808) 773-8678

Organizations & group practices 2

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.

Hospital & facility affiliations 9

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1801843842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD STE 1800",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144500",
            "telephone_number": "808-941-3363",
            "fax_number": "808-949-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 600",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132434",
            "telephone_number": "808-773-8678",
            "fax_number": "808-773-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARADA",
        "first_name": "ANN",
        "middle_name": "SORAYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "18282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100509207",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.