Organization Active NPI

Myles Suehiro, M.D., Inc

  • Pulmonary Disease Physician
  • Honolulu, HI
National Provider Identifier
1861752875
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
3777 Issued in HI
Legal business name
MYLES SUEHIRO, M.D., INC
Practice address
1585 Kapiolani Blvd
Suite 1645
Honolulu, HI 96814-4522
Phone
(808) 312-1256
Fax
(808) 988-5090
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Dr. Myles Suehiro, M.D.NPI 1437371564
Title
Owner
Phone
(808) 372-5111

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RP1001X 3777 HI Primary
Sports Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0010X 3777 HI
Sleep Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RS0012X 3777 HI

Addresses

Primary practice location

1585 Kapiolani Blvd
Suite 1645
Honolulu, HI 96814-4522

Mailing address

3784 Kumulani PL
Honolulu, HI 96822-1112
Phone (808) 372-5111

Other identifiers 2

IdentifierTypeStateIssuer
00L0023501OtherHIHMSA PROVIDER #
021218MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120726000567 HI Part B Supplier - Clinic/Group Practice 3072779594 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

2756 Woodlawn Dr
Ste 6-202
Honolulu, HI 96822
Phone (808) 988-0819

1585 Kapiolani Blvd
Ste 1645
Honolulu, HI 96814
Phone (808) 312-1256

Practitioners & affiliated clinicians

Practitioners 1

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": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1861752875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3784 KUMULANI PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221112",
            "telephone_number": "808-372-5111",
            "fax_number": "808-988-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD",
            "address_2": "SUITE 1645",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144522",
            "telephone_number": "808-312-1256",
            "fax_number": "808-988-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLES SUEHIRO, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "SUEHIRO",
        "authorized_official_first_name": "MYLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-372-5111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "3777",
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "HI",
            "license": "3777",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "HI",
            "license": "3777",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA PROVIDER #",
            "identifier": "00L0023501",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021218",
            "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 May 23, 2012; 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.