Organization Active NPI

Scott T Kawamoto MD LLC

  • Rheumatology Physician
  • Honolulu, HI
National Provider Identifier
1972744902
Registry record updated Mar 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD-14357 Issued in HI
Legal business name
SCOTT T KAWAMOTO MD LLC
Practice address
550 S Beretania St
Suite 514
Honolulu, HI 96813-2414
Phone
(808) 523-2911
NPI assigned
Mar 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2009

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

Authorized official

Name
Dr. Scott T Kawamoto, M.D.NPI 1245441583
Title
Sole Member
Phone
(808) 457-0477

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X MD-14357 HI
Rheumatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RR0500X MD-14357 HI Primary

Addresses

Primary practice location

550 S Beretania St
Suite 514
Honolulu, HI 96813-2414

Mailing address

98-640 Puailima St
Aiea, HI 96701-2231
Phone (808) 457-0477

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090421000377 HI Part B Supplier - Clinic/Group Practice 3072660562 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1237593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237593600000",
    "number": "1972744902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-640 PUAILIMA ST",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967012231",
            "telephone_number": "808-457-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S BERETANIA ST",
            "address_2": "SUITE 514",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132414",
            "telephone_number": "808-523-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT T KAWAMOTO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-21",
        "last_updated": "2009-03-21",
        "status": "A",
        "authorized_official_last_name": "KAWAMOTO",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "808-457-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-14357",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "HI",
            "license": "MD-14357",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 21, 2009; 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.