Island Surgical Specialists, LLC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

Legal business name

ISLAND SURGICAL SPECIALISTS, LLC

Practice address

405 N Kuakini St Ste 1001
Honolulu, HI 96817-6301

Phone

(808) 457-4057

NPI assigned

Nov 2, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michael Krishna Rao, MDNPI 1083093488

Title

Member

Phone

(808) 457-4057

Specialties & licenses 1

Addresses

Other names 1

• Michael Krishna Rao, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Krishna Rao, M.D., M.P.H., M.S.

  • Colon & Rectal Surgery Physician
  • Columbus, OH
  • NPI 1083093488

  Colon & Rectal Surgery, HI

  Medicare reassignment NPD Authorized official
• Alex Kenji Smith

  • Acute Care Nurse Practitioner
  • Kailua, HI
  • NPI 1770368854

  HI

  Medicare reassignment NPD

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1962275784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176301",
            "telephone_number": "808-457-4057",
            "fax_number": "866-591-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 1001",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176301",
            "telephone_number": "808-457-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SURGICAL SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-457-4057",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Krishna Rao, M.D.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michael Krishna Rao, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Island Pacific Medical Center
• Island Paradise Investments, LP
• Island Physical Therapy, Inc
• Island Psychiatric Care LLC
• Island Speech Therapy, LLC
• Island Urgent Care LLC
• Island Urgent Care Waikiki LLC
• Island Urology Honolulu LLC
• Island Urology Oahu LLC
• Island Wellness & Health Inc

• All providers in Honolulu, HI
• Colon & Rectal Surgery Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.