Individual provider Active NPI

Kyong Su Min, MD

  • Orthopaedic Surgery Physician
  • Honolulu, HI
National Provider Identifier
1972737153
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD-19296 Issued in HI
Practice address
3382 Waialae Ave
Honolulu, HI 96816-2637
Phone
(808) 548-7033
NPI assigned
May 4, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD-19296 HI Primary
Orthopaedic Surgery Physician 207X00000X MD60771590 WA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD-19296 HI

Addresses

Primary practice location

3382 Waialae Ave
Honolulu, HI 96816-2637

Mailing address

3382 Waialae Ave
Honolulu, HI 96816-2637
Phone (808) 548-7033

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
I20190705000959 HI Practitioner - Sports MedicinePractitioner - Orthopedic Surgery 8921394180 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Un of California, Irvine, College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Orthopaedics, LLCGroup PAC ID 1850578030, 12 clinicians

Practice addresses (Care Compare)

3382 Waialae Ave
Honolulu, HI 96816-2637
Phone (808) 548-7033

Hospital & facility affiliations

  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • North Hawaii Community Hospital, Inc Hospital, Kamuela, HI, CCN 120028
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Queens North Hawaii Community Hospital Orthopaedic Surgery CurrentSince Aug 17, 2020 Accepting new patients
Hilo Benioff Medical Center CurrentSince May 11, 2019 Accepting new patients
Island Orthopaedics, LLC Orthopaedic Surgery CurrentSince Aug 17, 2020 Accepting new patients
Island Orthopaedics, LLC Orthopaedic Surgery Current Accepting new patients
Hilo Benioff Medical Center CurrentSince May 11, 2019 Accepting new patients

Locations

91-2139 Fort Weaver Rd
Ste 305
Ewa Beach, HI 96706
Phone (808) 548-7036

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

46-001 Kamehameha Hwy
Ste 412
Kaneohe, HI 96744
Phone (808) 548-7033

Interoperability endpoints

  • Direct secure messaging: kyong.min.1@5512.direct.athenahealth.com

Organizations & group practices 5

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 3

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": "1241395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1972737153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3382 WAIALAE AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162637",
            "telephone_number": "808-548-7033",
            "fax_number": "808-548-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3382 WAIALAE AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162637",
            "telephone_number": "808-548-7033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIN",
        "first_name": "KYONG",
        "middle_name": "SU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-04",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "HI",
            "license": "MD-19296",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60771590",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "HI",
            "license": "MD-19296",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.