Nicole Mahealani Lum, DO

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

DOS-1825 Issued in HI

Practice address

321 N Kuakini St Ste 308
Honolulu, HI 96817-2360

Phone

(808) 440-6852

Fax

(808) 440-6878

NPI assigned

May 12, 2014

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Osteopathic Manipulative Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ke Ola MamoGroup PAC ID 0143245100, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Honolulu Home health agency, Honolulu, HI, CCN 127025
• Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Ke Ola Mamo

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1700979531
  Medicare reassignment Care Compare group NPD
• Ke Ola Mamo

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1568655686
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kuakini Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1215939335
  Care Compare affiliation
• Prime Care Services Hawaii Inc

  • Home Health Agency
  • Honolulu, HI
  • NPI 1730176488
  Care Compare affiliation

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1841601937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172360",
            "telephone_number": "808-440-6852",
            "fax_number": "808-440-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172360",
            "telephone_number": "808-440-6852",
            "fax_number": "808-440-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUM",
        "first_name": "NICOLE MAHEALANI",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-12",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "DOS-1825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-PROFIT",
            "identifier": "990288045",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "826175",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Lee Lum, PHARM.D.
• Mark Andrew Apana Lum
• Mark C. Lum, MD
• Mark Kistler Lum, M.D.
• Monica Lum
• Peter B. T. Lum, MD
• Rhoda Lum
• Ross Lum, P.T.
• Sara Mitsue Lum, PHARMD
• Sharilyn K. Lum, PH.D.

• Geriatric Medicine (Family Medicine) Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Geriatric Medicine (Family Medicine) Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.

Verify at the official NPI Registry.