Individual provider Active NPI

Dale Eugene Adams, MD

  • Internal Medicine Physician
  • Kailua, HI
National Provider Identifier
1982709101
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD2081 Issued in HI
Practice address
314 Uluniu Street
Kailua, HI 96734-2515
Phone
(808) 263-7686
Fax
(808) 262-8320
NPI assigned
Sep 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Internal Medicine Physician 207R00000X MD2081 HI Primary

Addresses

Primary practice location

314 Uluniu Street
Kailua, HI 96734-2515

Mailing address

314 Uluniu Street
Kailua, HI 96734-2515
Phone (808) 263-7686

Other identifiers 4

IdentifierTypeStateIssuer
03419801MedicaidHI
191977OtherSUMMERLIN
0037762OtherHSMA QUEST
3776ZOtherHMSA BCBS

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
I20051005001240 HI Practitioner - Internal MedicinePractitioner - Addiction Medicine 6507881810 Practice locations: Kailua, HI

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Addiction Medicine
Education
Loma Linda University School of Medicine, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

314 Uluniu St
Kailua, HI 96734-2584
Phone (808) 263-7686

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982709101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ULUNIU STREET",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342515",
            "telephone_number": "808-263-7686",
            "fax_number": "808-262-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ULUNIU STREET",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342515",
            "telephone_number": "808-263-7686",
            "fax_number": "808-262-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "DALE",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD2081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03419801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMERLIN",
            "identifier": "191977",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSMA QUEST",
            "identifier": "0037762",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA BCBS",
            "identifier": "3776Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.