Individual provider Active NPI

Naoto Ueno, M.D. PHD

  • Medical Oncology Physician
  • Honolulu, HI
National Provider Identifier
1851497770
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD-23176 Issued in HI
Practice address
701 Ilalo St
Honolulu, HI 96813-5516
Phone
(808) 586-5854
Fax
(808) 586-5857
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X J4676 TX
Medical Oncology Physician 207RX0202X MD-23176 HI Primary

Addresses

Primary practice location

701 Ilalo St
Honolulu, HI 96813-5516

Mailing address

701 Ilalo St
Honolulu, HI 96813-5516
Phone (808) 586-3013

Other identifiers 2

IdentifierTypeStateIssuer
82M421OtherTXBCBS
103276501MedicaidTX

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
I20230308002722 HI Practitioner - Medical OncologyPractitioner - Internal Medicine 6204028962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Clinical Education and Research AssociatesGroup PAC ID 1658275847, 19 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4676TXMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Clinical Education & Research Associates CurrentSince Mar 1, 2023 Accepting new patients
University Clinical Education & Research Associates CurrentSince Mar 1, 2023 Accepting new patients
State of Hawaii, Department of Health PastSince Feb 8, 2023 Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1319 Punahou St
Ste 640
Honolulu, HI 96826
Phone (808) 983-6090

677 Ala Moana Blvd
Ste 1001
Honolulu, HI 96813

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1907 S Beretania St
Honolulu, HI 96826
Phone (808) 371-2988

Organizations & group practices 3

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

Hospital & facility affiliations 1

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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1851497770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ILALO ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135516",
            "telephone_number": "808-586-3013",
            "fax_number": "808-586-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 ILALO ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135516",
            "telephone_number": "808-586-5854",
            "fax_number": "808-586-5857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UENO",
        "first_name": "NAOTO",
        "credential": "M.D. PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "J4676",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "HI",
            "license": "MD-23176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "82M421",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103276501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.