Individual provider Active NPI

Samuel J Evans, M.D.

  • Pulmonary Disease Physician
  • Honolulu, HI
National Provider Identifier
1992744452
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD10768 Issued in HI
Practice address
888 S King St
Honolulu, HI 96813-3009
Phone
(808) 536-3773
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD10768 HI
Pulmonary Disease Physician 207RP1001X MD10768 HI Primary

Addresses

Primary practice location

888 S King St
Honolulu, HI 96813-3009

Mailing address

PO Box 31000
Suite 1800
Honolulu, HI 96849-5711
Phone (808) 941-3363

Other practice location 1

2230 Liliha St
Critical Care Dept.
Honolulu, HI 96817-1646
Phone (808) 342-6222

Other identifiers 3

IdentifierTypeStateIssuer
50506805MedicaidHI
50506807MedicaidHI
50506806MedicaidHI

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
I20050106000428 HI Practitioner - Pulmonary Disease 0042268047 Reassigns benefits to 1 organization
Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

550 S Beretania St
Suite 501
Honolulu, HI 96813-2496
Phone (808) 536-3773

602 Kailua Rd
Suite 200
Kailua, HI 96734-2841
Phone (808) 263-9100

888 S King St
Honolulu, HI 96813-3097
Phone (808) 536-3773

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 486-6000

Hospital & facility affiliations

  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007
  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006
  • Rehabilitation Hospital of the Pacific Inpatient rehabilitation facility, Honolulu, HI, CCN 123025

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10768HIMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Mar 30, 2015 Accepting new patients
Straub Clinic & Hospital CurrentSince Mar 30, 2015 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients
Liberty Dialysis-Hawaii, LLC Past Accepting new patients
Sam Evans, MD Pulmonary Disease PastSince Jan 1, 2015 Accepting new patients

Locations

98-151 Pali Momi St
Aiea, HI 96701
Phone (808) 483-6400

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

98-151 Pali Momi St
Ste 142
Aiea, HI 96701
Phone (808) 483-6400

2230 Liliha St
Honolulu, HI 96817
Phone (808) 547-6011

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

347 N Kuakini St
Honolulu, HI 96817
Phone (808) 536-2236

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

602 Kailua Rd
Ste 200
Kailua, HI 96734
Phone (808) 263-9100

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Straub Benioff Medical CenterHonolulu, HI, CCN 120022 Hospital Corporate Director Mar 27, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1992744452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31000",
            "address_2": "SUITE 1800",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968495711",
            "telephone_number": "808-941-3363",
            "fax_number": "808-949-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133009",
            "telephone_number": "808-536-3773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2230 Liliha St",
            "address_2": "Critical Care Dept.",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968171646",
            "country_code": "US",
            "telephone_number": "808-342-6222",
            "fax_number": "808-949-0483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD10768",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "HI",
            "license": "MD10768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50506805",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50506807",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50506806",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.