Individual provider Active NPI

Ronald Gene Perry, M.D.

  • Internal Medicine Physician
  • Honolullu, HI
National Provider Identifier
1952391195
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD1962 Issued in HI
Practice address
1314 S King St
Suite 1151
Honolullu, HI 96814-1942
Phone
(808) 946-4541
Fax
(808) 946-8088
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 MD1962 HI Primary

Addresses

Primary practice location

1314 S King St
Suite 1151
Honolullu, HI 96814-1942

Mailing address

PO Box 11718
Honolulu, HI 96828-0718
Phone (808) 946-4541

Other identifiers 1

IdentifierTypeStateIssuer
03452801MedicaidHI

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
I20051209000185 HI Practitioner - Internal Medicine 7618998329 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1314 S King St
Suite 1151
Honolulu, HI 96814-1945
Phone (808) 946-4541

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD1962HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald G Perry, MD CurrentSince Jul 31, 2023 Accepting new patients
Pon-Sang Chan MD Inc Past Accepting new patients

Locations

1314 S King St
Ste 1151
Honolulu, HI 96814
Phone (808) 946-4541

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1952391195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11718",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968280718",
            "telephone_number": "808-946-4541",
            "fax_number": "808-946-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "SUITE 1151",
            "city": "HONOLULLU",
            "state": "HI",
            "postal_code": "968141942",
            "telephone_number": "808-946-4541",
            "fax_number": "808-946-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "RONALD",
        "middle_name": "GENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD1962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03452801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.