NPIMap

Individual provider Active NPI

Kathleen Min, MD

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1912351909
Registry record updated Jul 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-20291 Issued in HI
Practice address
1380 Lusitana St Ste 515
Honolulu, HI 96813-2441
Phone
(415) 523-3859
Fax
(808) 521-4285
NPI assigned
Apr 16, 2016
Last updated
Jul 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-20291 HI Primary

Addresses

Primary practice location

1380 Lusitana St Ste 515
Honolulu, HI 96813-2441

Mailing address

1380 Lusitana St Ste 515
Honolulu, HI 96813-2441
Phone (415) 523-3859

Other practice location 1

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-5389

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
I20190805001354 HI Practitioner - Internal Medicine 9335476019 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1380 Lusitana St
Suite 515
Honolulu, HI 96813-2441
Phone (808) 523-3859

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen E. Min, M.D., LLC Internal Medicine CurrentSince Dec 9, 2021 Accepting new patients

Locations

1380 Lusitana St
Ste 515
Honolulu, HI 96813
Phone (808) 523-3859

Organizations & group practices 2

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": "1460764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562457600000",
    "number": "1912351909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 515",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132441",
            "telephone_number": "415-523-3859",
            "fax_number": "808-521-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 515",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132441",
            "telephone_number": "415-523-3859",
            "fax_number": "808-521-4285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Parnassus Ave",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941432204",
            "country_code": "US",
            "telephone_number": "415-476-5389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIN",
        "first_name": "KATHLEEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-16",
        "last_updated": "2019-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-20291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.