Active NPI
Derrick A. Dang, M.D.
- Anesthesiology Physician
- Honolulu, HI
National Provider Identifier
1801975719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD-5138
- Practice address
- 2226 Liliha St Ste 307
Honolulu, HI 96817-1605 - Phone
- (808) 531-5828
- NPI assigned
- Nov 2, 2006
- Last updated
- Jul 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD-5138 | HI | Primary |
Addresses
Primary practice location
2226 Liliha St Ste 307
Honolulu, HI 96817-1605
Mailing address
PO Box 240143
Honolulu, HI 96824-0143
Phone (808) 377-5120
Other practice location 1
5239 Apo Dr
Honolulu, HI 96821-1827
Phone (808) 373-3519
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05498801 | Medicaid | HI |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080606000126 | HI | Practitioner - Anesthesiology | 7416027156 | Practice locations: Aiea, HI; Honolulu, HI |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Creighton University School of Medicine, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 538-9011
347 N Kuakini St
Honolulu, HI 96817-2381
Phone (808) 536-2236
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-5138 | HI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1801975719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 240143",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968240143",
"telephone_number": "808-377-5120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2226 LILIHA ST STE 307",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171605",
"telephone_number": "808-531-5828"
}
],
"practiceLocations": [
{
"address_1": "5239 Apo Dr",
"address_purpose": "LOCATION",
"city": "Honolulu",
"state": "HI",
"postal_code": "968211827",
"country_code": "US",
"telephone_number": "808-373-3519",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANG",
"first_name": "DERRICK",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "HI",
"license": "MD-5138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05498801",
"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 Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.