Organization Active NPI

Kristi T Lopez MD Inc

  • Gastroenterology Physician
  • Honolulu, HI
National Provider Identifier
1942798640
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD-16308 Issued in HI
Legal business name
KRISTI T LOPEZ MD INC
Practice address
321 N Kuakini St Ste 714
Honolulu, HI 96817
Phone
(808) 741-3037
NPI assigned
Apr 27, 2018
Last updated
Jun 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Authorized official

Name
Mrs. Kristi T Lopez, MDNPI 1184887846
Title
Owner
Phone
(808) 561-2398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X MD-16308 HI Primary

Addresses

Primary practice location

321 N Kuakini St Ste 714
Honolulu, HI 96817

Mailing address

321 N Kuakini St Ste 714
Honolulu, HI 96817-2362
Phone (808) 741-3037

Other identifiers 1

IdentifierTypeStateIssuer
1184887846OtherTYPE 1 NPI #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180702002757 HI Part B Supplier - Clinic/Group Practice 1355697517 Receives reassigned benefits from 3 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1401 S Beretania St
Ste 200
Honolulu, HI 96814
Phone (808) 312-6700

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528934400000",
    "number": "1942798640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 714",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172362",
            "telephone_number": "808-741-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 714",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-741-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI T LOPEZ MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-06-14",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-561-2398",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "HI",
            "license": "MD-16308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI #",
            "identifier": "1184887846",
            "state": null
        }
    ],
    "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 Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.