Organization Active NPI

Miki Medical Associates, Inc

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1851438360
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MIKI MEDICAL ASSOCIATES, INC
Practice address
405 N Kuakini St Ste 1004
Honolulu, HI 96817-6301
Phone
(808) 521-5220
Fax
(808) 441-5588
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Authorized official

Name
Nobuyuki Miki, M.D.NPI 1780721290
Title
President
Phone
(808) 521-5220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

405 N Kuakini St Ste 1004
Honolulu, HI 96817-6301

Mailing address

405 N Kuakini St Ste 1004
Honolulu, HI 96817-6301
Phone (808) 521-5220

Other identifiers 1

IdentifierTypeStateIssuer
W20575556-01OtherHIHI STATE TAX ID NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040323000842 HI Part B Supplier - Clinic/Group Practice 7810888492 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

405 N Kuakini St
Ste 1104
Honolulu, HI 96817
Phone (808) 484-1169

405 N Kuakini St
Ste 1004
Honolulu, HI 96817
Phone (808) 521-5220

405 N Kuakini St
Ste 1105
Honolulu, HI 96817
Phone (808) 532-2056

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1851438360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 1004",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176301",
            "telephone_number": "808-521-5220",
            "fax_number": "808-441-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 1004",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176301",
            "telephone_number": "808-521-5220",
            "fax_number": "808-441-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKI MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "MIKI",
        "authorized_official_first_name": "NOBUYUKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-521-5220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HI STATE TAX ID NUMBER",
            "identifier": "W20575556-01",
            "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 Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.