Individual provider Active NPI

Stephen Michael Smith, M.D.

  • Specialist
  • Honolulu, HI
National Provider Identifier
1841223740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
2230 Liliha St FL 1
Honolulu, HI 96817-1646
Phone
(808) 547-6536
Fax
(808) 547-6149
NPI assigned
Jul 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

2230 Liliha St FL 1
Honolulu, HI 96817-1646

Mailing address

2230 Liliha St FL 1
Honolulu, HI 96817-1646
Phone (808) 547-6536

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
I20040823000725 HI Practitioner - Pathology 0042284390 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Wake Forest University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pan Pacific Pathologists LLCGroup PAC ID 0941190474, 19 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 974-6898

33 Lanihuli St
Hilo, HI 96720-4142

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pan Pacific Pathologists, LLC CurrentSince Aug 15, 2004 Accepting new patients
Clinical Laboratories of Hawaii LLP Past Accepting new patients

Locations

98-1079 Moanalua Rd
Fl 2
Aiea, HI 96701
Phone (808) 485-4243

99-193 Aiea Heights Dr
Aiea, HI 96701
Phone (808) 834-5155

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

33 Lanihuli St
Hilo, HI 96720
Phone (808) 935-4814

1319 Punahou St
Bsmt
Honolulu, HI 96826
Phone (808) 983-8130

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

Ownership & related parties

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Honokaa Hospital & Skilled NursingHonokaa, HI, CCN 121307 Hospital Corporate Director Jan 1, 2018
Hilo Benioff Medical CenterHilo, HI, CCN 120005 Hospital Corporate Director Feb 24, 2018
Honokaa Hospital & Skilled NursingHonokaa, HI, CCN 12Z307 Hospital Corporate Officer
Corporate Director
Feb 24, 2018
Feb 24, 2018
Kau HospitalPahala, HI, CCN 12Z301 Hospital Corporate Director Feb 24, 2018
Yukio Okutsu State Veterans HomeHilo, HI, CCN 125058 Skilled nursing facility Corporate Director Feb 24, 2018
Hilo Benioff Medical CenterHilo, HI, CCN 125002 Skilled nursing facility Corporate Director Feb 24, 2018
Honokaa Hospital & Skilled NursingHonoka'a, HI, CCN 125032 Skilled nursing facility Corporate Director Feb 24, 2018
Kau HospitalPahala, HI, CCN 123976 Rural health clinic Corporate Director Jan 1, 2018
East Hawaii Health Clinic at PahoaPahoa, HI, CCN 123979 Rural health clinic Corporate Director Feb 24, 2018
East Hawaii Health Clinic at Kea'AuKeaau, HI, CCN 123991 Rural health clinic Corporate Director Feb 24, 2018
East Hawaii Health Clinic at Puna KPahoa, HI, CCN 123400 Rural health clinic Corporate Director Feb 24, 2018

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841223740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST FL 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-547-6536",
            "fax_number": "808-547-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 LILIHA ST FL 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171646",
            "telephone_number": "808-547-6536",
            "fax_number": "808-547-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.