NPIMap

Individual provider Active NPI

Masahisa Amano, M.D.

  • Family Medicine Physician
  • Haleiwa, HI
National Provider Identifier
1881905388
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17088 Issued in HI
Practice address
66-125 Kamehameha Hwy
Haleiwa Family Health Center
Haleiwa, HI 96712-1601
Phone
(808) 637-5087
NPI assigned
Jun 29, 2010
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17088 HI Primary

Addresses

Primary practice location

66-125 Kamehameha Hwy
Haleiwa Family Health Center
Haleiwa, HI 96712-1601

Mailing address

66-125 Kamehameha Hwy
Haleiwa Family Health Center
Haleiwa, HI 96712-1601
Phone (808) 637-5087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130712000571 HI Practitioner - Family Practice 3274773338 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1380 Lusitana St
Honolulu, HI 96813-2448

1380 Lusitana St
Suite 804
Honolulu, HI 96813-2444
Phone (808) 691-8962

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17088HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Nov 1, 2021 Accepting new patients
Queen's Development Corporation & Subsidiaries CurrentSince Jul 1, 2019 Accepting new patients
The Queens Medical Center CurrentSince Nov 1, 2021 Accepting new patients
The Queen's Medical Center Current Accepting new patients
Queen's Development Corporation & Subsidiaries Current Accepting new patients
The Queen's Medical Center Current Accepting new patients
Queen's Development Corporation & Subsidiaries CurrentSince Jul 1, 2019 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
The Queens Medical Center Past Accepting new patients

Locations

66-125 Kamehameha Hwy
Haleiwa, HI 96712
Phone (808) 225-0725

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1380 Lusitana St
Ste 804
Honolulu, HI 96813
Phone (808) 524-3020

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

377 Keahole St
Honolulu, HI 96825
Phone (808) 395-4427

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

Interoperability endpoints

  • Direct secure messaging: masahisa.amano@hawaiihie.medicity.net

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1881905388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-125 KAMEHAMEHA HWY",
            "address_2": "HALEIWA FAMILY HEALTH CENTER",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121601",
            "telephone_number": "808-637-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-125 KAMEHAMEHA HWY",
            "address_2": "HALEIWA FAMILY HEALTH CENTER",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121601",
            "telephone_number": "808-637-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMANO",
        "first_name": "MASAHISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-29",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "17088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

Verify at the official NPI Registry.