Organization Active NPI

Carlos a. Omphroy, M.D., Inc.

  • Specialist
  • Mililani, HI
National Provider Identifier
1992822977
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARLOS A. OMPHROY, M.D., INC.
Practice address
95-720 Lanikuhana Ave
Suite 110
Mililani, HI 96789-2985
Phone
(808) 625-5577
Fax
(808) 625-1221
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Dr. Carlos A. Omphroy, M. D.NPI 1437165396
Title
President
Phone
(808) 625-5577

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

95-720 Lanikuhana Ave
Suite 110
Mililani, HI 96789-2985

Mailing address

95-720 Lanikuhana Ave Ste 110
Mililani, HI 96789-2986
Phone (808) 625-5577

Other identifiers 2

IdentifierTypeStateIssuer
C01766-9OtherHIHMSA
01649901MedicaidHI

Other names 1

  • Carlos A. Omphroy, M. D., Inc. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000513 HI Part B Supplier - Clinic/Group Practice 7618867136 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI; Mililani, HI; Wahiawa, HI

National Provider Directory

National Provider Directory

Locations

95-1249 Meheula Pkwy
#B6
Mililani, HI 96789
Phone (808) 625-5577

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1992822977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE STE 110",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892986",
            "telephone_number": "808-625-5577",
            "fax_number": "808-625-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-720 LANIKUHANA AVE",
            "address_2": "SUITE 110",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892985",
            "telephone_number": "808-625-5577",
            "fax_number": "808-625-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A. OMPHROY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "OMPHROY",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-625-5577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "C01766-9",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01649901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carlos A. Omphroy, M. D., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.