Individual provider Active NPI

Jared Genji Sugihara, M.D.

  • Nephrology Physician
  • Honolulu, HI
National Provider Identifier
1942229489
Registry record updated Jul 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
1750 Issued in HI
Practice address
2226 Liliha St Ste 306
Honolulu, HI 96817-1605
Phone
(808) 531-5711
Fax
(808) 531-5733
NPI assigned
Jul 18, 2006
Last updated
Jul 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 1750 HI Primary

Addresses

Primary practice location

2226 Liliha St Ste 306
Honolulu, HI 96817-1605

Mailing address

2226 Liliha St Ste 306
Honolulu, HI 96817-1605
Phone (808) 531-5711

Other identifiers 2

IdentifierTypeStateIssuer
034187-01MedicaidHI
1750OtherHISTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060113000557 HI Practitioner - NephrologyPractitioner - Internal Medicine 9638192818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Harvard Medical School, 1967
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1329 Lusitana St
Suite 302
Honolulu, HI 96813-2411
Phone (808) 531-5711

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1750HIMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: jared.sugihara@189543753515012.direct.elationemr.com
  • Direct secure messaging: jared.sugihara@62652366192644.direct.elationemr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341273600000",
    "number": "1942229489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST STE 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171605",
            "telephone_number": "808-531-5711",
            "fax_number": "808-531-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST STE 306",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171605",
            "telephone_number": "808-531-5711",
            "fax_number": "808-531-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUGIHARA",
        "first_name": "JARED",
        "middle_name": "GENJI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "1750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034187-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "1750",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.