Individual provider Active NPI

Ronald Y Fujimoto, D.O.

  • Family Medicine Physician
  • Lihue, HI
National Provider Identifier
1962407668
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOS-547 Issued in HI
Practice address
3-3295 Kuhio Hwy
Lihue, HI 96766-1040
Phone
(808) 245-8874
Fax
(808) 246-9080
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOS-547 HI Primary

Addresses

Primary practice location

3-3295 Kuhio Hwy
Lihue, HI 96766-1040

Mailing address

Seven Waterfront Plaza
500 Ala Moana Blvd., Suite 300
Honolulu, HI 96813
Phone (808) 537-5512

Other identifiers 1

IdentifierTypeStateIssuer
05860701MedicaidHI

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
I20040707000552 HI Practitioner - Family PracticePractitioner - General Practice 2567449580 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
College of Osteo Med of the Pacific at Pomona, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samuel Mahelona Memorial HospitalGroup PAC ID 1759271216, 46 clinicians

Practice addresses (Care Compare)

2829 Ala Kalani Kaumaka St
Suite B 201
Koloa, HI 96756-7549
Phone (808) 742-0999

4463 Pahee St
Suite 206
Lihue, HI 96766-2000
Phone (808) 241-5799

4489 Papalina Rd
Kalaheo, HI 96741-2001
Phone (808) 332-8523

4800 Kawaihau Rd
Kapaa, HI 96746-1971
Phone (808) 822-4961

Hospital & facility affiliations

  • Samuel Mahelona Memorial Hospital Hospital, Kapaa, HI, CCN 121306

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Mahelona Memorial Hospital CurrentSince Sep 4, 2020 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Sep 4, 2020 Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Apr 1, 2019 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients

Locations

2829 Ala Kalanikaumaka
Ste B201
Koloa, HI 96756
Phone (808) 742-0999

2829 Ala Kalani Kaumaka St
Ste B-201
Koloa, HI 96756
Phone (808) 742-0999

3-3295 Kuhio Hwy
Lihue, HI 96766
Phone (808) 245-8874

Organizations & group practices 4

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 1

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1962407668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SEVEN WATERFRONT PLAZA",
            "address_2": "500 ALA MOANA BLVD., SUITE 300",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-537-5512",
            "fax_number": "808-533-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3295 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661040",
            "telephone_number": "808-245-8874",
            "fax_number": "808-246-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUJIMOTO",
        "first_name": "RONALD",
        "middle_name": "Y",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05860701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.