Organization Active NPI

Leonard N Cupo, M.D., P.C.

  • Medical Specialty Clinic/Center
  • Honolulu, HI
National Provider Identifier
1962670653
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
MD 8060 Issued in HI
Legal business name
LEONARD N CUPO, M.D., P.C.
Practice address
1319 S King St
Honolulu, HI 96814-2341
Phone
(808) 599-8787
Fax
(808) 599-7744
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Leonard Nicholas Cupo, MEDICAL DOCTORNPI 1356436752
Title
President
Phone
(808) 599-8787

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
Medical Specialty Clinic/Center 261QM2500X MD 8060 HI Primary

Addresses

Primary practice location

1319 S King St
Honolulu, HI 96814-2341

Mailing address

1319 S King St
Honolulu, HI 96814-2341
Phone (808) 599-8787

Other identifiers 1

IdentifierTypeStateIssuer
00666501MedicaidHI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080528000421 HI Part B Supplier - Clinic/Group Practice 5496825820 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1319 S King St
Honolulu, HI 96814
Phone (808) 599-8787

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1962670653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142341",
            "telephone_number": "808-599-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142341",
            "telephone_number": "808-599-8787",
            "fax_number": "808-599-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEONARD N CUPO, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "CUPO",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-599-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "HI",
            "license": "MD 8060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00666501",
            "state": "HI"
        }
    ],
    "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 13, 2008; 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.