Individual provider Active NPI

John Rady Magauran, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1962550194
Registry record updated Jan 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8932 Issued in HI
Practice address
1314 S King St Ste 1655
Honolulu, HI 96814-1950
Phone
(808) 924-7246
Fax
(808) 591-9343
NPI assigned
Jan 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2019

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 8932 HI Primary

Addresses

Primary practice location

1314 S King St Ste 1655
Honolulu, HI 96814-1950

Mailing address

1314 S King St Ste 1653
Honolulu, HI 96814-1950
Phone (808) 591-9339

Other practice location 1

1314 S King St Ste 1653
Honolulu, HI 96814-1950
Phone (808) 591-9339

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
I20091117000582 HI Practitioner - Internal Medicine 0143368894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
May accept Medicare assignment
Group practices
Honolulu Wellness Group IncGroup PAC ID 2567810898, 4 clinicians

Practice addresses (Care Compare)

1314 S King St
Suite 1654
Honolulu, HI 96814-1950
Phone (808) 924-7246

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8932HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honolulu Wellness Group, Inc. Internal Medicine CurrentSince Apr 4, 2024 Accepting new patients
Opportunites for the Retarded, Inc. Past Accepting new patients

Locations

1314 S King St
Ste 1655
Honolulu, HI 96814
Phone (808) 924-7246

1314 S King St
Ste 1654
Honolulu, HI 96814
Phone (808) 924-7246

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1962550194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1653",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141950",
            "telephone_number": "808-591-9339",
            "fax_number": "808-591-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1655",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141950",
            "telephone_number": "808-924-7246",
            "fax_number": "808-591-9343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 S King St Ste 1653",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141950",
            "country_code": "US",
            "telephone_number": "808-591-9339",
            "fax_number": "808-591-9343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGAURAN",
        "first_name": "JOHN",
        "middle_name": "RADY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "8932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.