Individual provider Active NPI

Derrick A. Dang, M.D.

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1801975719
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-5138 Issued in HI
Practice address
2226 Liliha St Ste 307
Honolulu, HI 96817-1605
Phone
(808) 531-5828
NPI assigned
Nov 2, 2006
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
05498801MedicaidHI

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
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

LicenseStateTypeSpecialty
MD-5138HIMDAnesthesiology 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

Verify at the official NPI Registry.