Individual provider Active NPI

Stephen H Denzer, MD

  • Internal Medicine Physician
  • Kealakekua, HI
National Provider Identifier
1992742654
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-4563 Issued in HI
Practice address
79-1019 Haukapila St
Kealakekua, HI 96750-7920
Phone
(808) 322-9311
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 MD-4563 HI Primary

Addresses

Primary practice location

79-1019 Haukapila St
Kealakekua, HI 96750-7920

Mailing address

PO Box 998
North Hollywood, CA 91603-0998
Phone (818) 509-2222

Other identifiers 2

IdentifierTypeStateIssuer
01196702MedicaidHI
7280653OtherHIUNIV HEALTH ALLIANCE

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
I20050606000429 HI Practitioner - Internal Medicine 3779526314 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-4563HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MKK Healthcare Inc CurrentSince Aug 1, 2014 Accepting new patients
Lifestyle Medicine Center of Hawaii, LLC PastSince Apr 25, 2021 Accepting new patients
Big Island Internal Medicine, Inc Internal Medicine PastSince Jan 1, 2007 Accepting new patients

Locations

75-377 Hualalai Rd
Kailua Kona, HI 96740
Phone (808) 329-9211

75-184 Hualalai Rd
Ste 203
Kailua Kona, HI 96740
Phone (808) 329-9211

Organizations & group practices 3

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992742654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916030998",
            "telephone_number": "818-509-2222",
            "fax_number": "818-509-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-1019 HAUKAPILA ST",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507920",
            "telephone_number": "808-322-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENZER",
        "first_name": "STEPHEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-4563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01196702",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIV HEALTH ALLIANCE",
            "identifier": "7280653",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.