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Kaiser Foundation Health Plan

Organization Active NPI Radiology Clinic/Center · Honolulu, HI

NPI 1972606473 · NPPES record last updated Nov 25, 2014

Key facts

NPI
1972606473
Entity type
Organization (NPI type 2)
Primary specialty
Radiology Clinic/Center 261QR0200X
License
150623 (HI)
Legal business name
KAISER FOUNDATION HEALTH PLAN
Practice address
3288 Moanalua Rd
Radiology Department
Honolulu, HI 96819-1469
Phone
(808) 432-7341
Fax
(808) 432-7340
NPI assigned
Sep 7, 2006
Organization subpart
No

Authorized official

Name
Thomas J. Risse
Title
Chief Financial Officer
Phone
(808) 432-5276

Other NPIs on the same Medicare enrollment 31

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 31

Corporate family (same tax ID) 14

Organizations that report the same tax identification number in the National Provider Directory.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in HI

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031119000948 HI Part B Supplier - Clinic/Group Practice 1850205360 Receives reassigned benefits from 208 practitioners
31 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

National Provider Directory

Tax ID family
Kaiser FDN HLTH Plan Phcy (379 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X 150623 HI Yes

Addresses

Primary practice location

3288 Moanalua Rd
Radiology Department
Honolulu, HI 96819-1469

Mailing address

711 Kapiolani Blvd
Billing Department
Honolulu, HI 96813-5214
Phone (808) 432-5312

Other names

  • Kaiser Moanalua Clinic Radiology Doing business as

Other providers in Honolulu, HI

All providers in Honolulu, HI · Radiology Clinic/Center in Hawaii

Sources for this page

Verify at the official NPI Registry.