Individual provider Active NPI

Takashi Nakamura, MD

  • Emergency Medicine Physician
  • Honolulu, HI
National Provider Identifier
1821381724
Registry record updated Feb 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD 17392 Issued in HI
Practice address
1000 Auahi St Apt 2406
Honolulu, HI 96814-3365
Phone
(808) 636-9762
NPI assigned
May 25, 2011
Last updated
Feb 5, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD 17392 HI Primary

Addresses

Primary practice location

1000 Auahi St Apt 2406
Honolulu, HI 96814-3365

Mailing address

1000 Auahi St Apt 2406
Honolulu, HI 96814-3365
Phone (808) 636-9762

Other practice location 1

53 W 36th St Frnt 2
New York, NY 10018-7955
Phone (516) 637-9979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, PA, NY, WA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20140819001242 HI Practitioner - Emergency Medicine 7416174289 Reassigns benefits to 2 organizations
I20231205001043 PA Practitioner - Emergency Medicine 7416174289
I20240710003513 NY Practitioner - Emergency Medicine 7416174289
I20250107001537 WA Practitioner - Emergency Medicine 7416174289

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 17392HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Emergency Group, Inc. Emergency Medicine CurrentSince Jul 23, 2014 Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Aristamd Medical Group PA CurrentSince Jul 1, 2025 Accepting new patients
Emergency Physicians Inc Emergency Medicine CurrentSince Feb 1, 2022 Accepting new patients
Pinnie Medical Group PC Emergency Medicine CurrentSince Dec 17, 2025 Accepting new patients
Openloop Healthcare Partners Wisconsin, SC PastSince Nov 21, 2021 Accepting new patients
Forefront Telecare Inc Past Accepting new patients
The Queens Medical Center Past Accepting new patients
Openloop Healthcare Partners PC PastSince Jan 11, 2023 Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients

Locations

1250 S 18th St
Ste 202
Fernandina Beach, FL 32034
Phone (904) 202-2000

1747 Baptist Clay Dr
Ste 250
Fleming Isle, FL 32003
Phone (904) 516-1000

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

770 Kapiolani Blvd
Ste 705
Honolulu, HI 96813
Phone (808) 597-8778

Interoperability endpoints

  • Direct secure messaging: takashi.nakamura.1@19960.direct.athenahealth.com
  • Direct secure messaging: takashi.nakamura@166622370791428.direct.elationemr.com
  • Direct secure messaging: takashi.nakamura@297228672368644.direct.elationemr.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675555200000",
    "number": "1821381724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AUAHI ST APT 2406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143365",
            "telephone_number": "808-636-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AUAHI ST APT 2406",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143365",
            "telephone_number": "808-636-9762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 W 36th St Frnt 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187955",
            "country_code": "US",
            "telephone_number": "516-637-9979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "TAKASHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2023-02-05",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD 17392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.