Individual provider Active NPI

Joshua B. Green, M.D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Kapaau, HI
National Provider Identifier
1982631735
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
MD 11173 Issued in HI
Practice address
54-383 Hospital Rd
Kapaau, HI 96755-0010
Phone
(808) 547-9593
Fax
(808) 599-2714
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X MD 11173 HI Primary

Addresses

Primary practice location

54-383 Hospital Rd
Kapaau, HI 96755-0010

Mailing address

PO Box 390028
Keauhou, HI 96739-0028
Phone (808) 937-0991

Other identifiers 2

IdentifierTypeStateIssuer
50056306MedicaidHI
H0221542OtherHISHIELD/HMSA

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
I20040225000787 HI Practitioner - Emergency MedicinePractitioner - Family Practice 4880580976 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 11173HIMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Emergency Physicians Associated Inc CurrentSince Apr 1, 2021 Accepting new patients
Islands Emergency Medical Service Hawaii, LLC Emergency Medical Services Past Accepting new patients
West Hawaii Community Health Center, Inc. Past Accepting new patients
West Hawaii Community Health Center, Inc. Past Accepting new patients
Clinical Laboratories of Hawaii LLP Past Accepting new patients

Locations

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

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.

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982631735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390028",
            "city": "KEAUHOU",
            "state": "HI",
            "postal_code": "967390028",
            "telephone_number": "808-937-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54-383 HOSPITAL RD",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967550010",
            "telephone_number": "808-547-9593",
            "fax_number": "808-599-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JOSHUA",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "HI",
            "license": "MD 11173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50056306",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHIELD/HMSA",
            "identifier": "H0221542",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaau, HI

Sources for this page

Verify at the official NPI Registry.