Active NPI
Katsufumi Nishida, M.D.
- Pulmonary Disease Physician
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD-14647
- Practice address
- 888 S King St
Honolulu, HI 96813-3097 - Phone
- (808) 522-4321
- Fax
- (808) 522-3024
- NPI assigned
- May 26, 2007
- Last updated
- Jul 21, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD-14647 | HI | Primary |
Addresses
Primary practice location
888 S King St
Honolulu, HI 96813-3097
Mailing address
3125 Chad Dr Ste 100
Eugene, OR 97408-7440
Phone (541) 687-1712
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
826 S King St
FL 2
Honolulu, HI 96813-3009
Phone (808) 522-4602
888 S King St
Honolulu, HI 96813-3009
888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-14647 | HI | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Sound Physicians Intensivists of Washington PLLC | Pulmonary Disease | Current | Accepting new patients |
| Straub Clinic & Hospital | Past | Accepting new patients |
Locations
98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
1460 G St
Springfield, OR 97477
Phone (541) 431-0665
3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154
Interoperability endpoints
- knishida@yourcarecommunity.org
Organizations & group practices 4
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.
-
dba Straub Benioff Medical Center
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Critical Care Medicine (Internal Medicine) Physician
- Spokane, WA
- NPI 1528582699
OR, Pulmonary Disease
-
dba Hawaii Pacific Health Specialty Pharmacy
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- Durable Medical Equipment & Medical Supplies
- Honolulu, HI
- NPI 1851443733
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1215939335
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- Rehabilitation Hospital
- Honolulu, HI
- NPI 1598785388
Inpatient rehabilitation facility
-
dba Straub Benioff Medical Center
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721520000000",
"number": "1912118159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3125 CHAD DR STE 100",
"city": "EUGENE",
"state": "OR",
"postal_code": "974087440",
"telephone_number": "541-687-1712",
"fax_number": "541-687-7943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133097",
"telephone_number": "808-522-4321",
"fax_number": "808-522-3024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NISHIDA",
"first_name": "KATSUFUMI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-26",
"last_updated": "2024-07-21",
"certification_date": "2024-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "HI",
"license": "MD-14647",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.