NPIMap

Organization Active NPI

Hawaii Nephrologists LLC

  • Nephrology Physician
  • Waipahu, HI
National Provider Identifier
1871909549
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
HAWAII NEPHROLOGISTS LLC
Practice address
94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032
Phone
(808) 206-9849
Fax
(808) 206-9850
NPI assigned
Jul 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Ryan Valle
Title
President
Phone
(781) 699-9362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032

Mailing address

94-229 Waipahu Depot St Ste 101
Waipahu, HI 96797-3032
Phone (808) 206-9849

Other practice location 1

75-184 Hualalai Rd Ste 202
Kailua Kona, HI 96740-1719
Phone (808) 329-8251

Other identifiers 1

IdentifierTypeStateIssuer
798621MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141022001811 HI Part B Supplier - Clinic/Group Practice 6709007420 Receives reassigned benefits from 8 practitioners
Practice locations: Kailua Kona, HI; Waipahu, HI

National Provider Directory

National Provider Directory
Tax ID family
Hawaii Nephrologists2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: wei.boon.ooi@hawaiihie.medicity.net

Practitioners & affiliated clinicians

Practitioners 9

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": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1871909549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-229 WAIPAHU DEPOT ST STE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967973032",
            "telephone_number": "808-206-9849",
            "fax_number": "808-206-9850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-184 Hualalai Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967401719",
            "country_code": "US",
            "telephone_number": "808-329-8251",
            "fax_number": "808-334-0130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAWAII NEPHROLOGISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-699-9362"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "798621",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.