Dave A. Mitsunaga, M.D. LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD-5774 Issued in HI

Practice address

1627 Hanai Loop
Honolulu, HI 96817-1803

Phone

(808) 848-5487

Fax

(808) 841-6732

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731715200000",
    "number": "1891864922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 HANAI LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171803",
            "telephone_number": "808-848-5487",
            "fax_number": "808-841-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 HANAI LOOP",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171803",
            "telephone_number": "808-848-5487",
            "fax_number": "808-841-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITSUNAGA",
        "first_name": "DAVE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D. LLC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2024-11-16",
        "certification_date": "2024-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-5774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023486",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "4548444",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000027219",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Simone Pilialoha Mitchener
• Matthew W Mitschele, MD
• Anh Phuong T Mitsuda, PHARMD
• Chase Ken Mitsuda, ATC
• Alan Mitsunaga, DDS
• Kyle A Mitsunaga, MD
• Lance K. Mitsunaga, MD
• Mary Tran Mitsunaga, APRN
• Morris Mitsunaga, MD
• Kuulei Miura Fahling, APRN

• Internal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.