Individual provider Active NPI

Thomas J. Nordyke, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1992878698
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-5885 Issued in HI
Practice address
6700 Kalanianaole Hwy Ste 106
Honolulu, HI 96825-1278
Phone
(808) 751-7193
Fax
(808) 451-2060
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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-5885 HI Primary

Addresses

Primary practice location

6700 Kalanianaole Hwy Ste 106
Honolulu, HI 96825-1278

Mailing address

6700 Kalanianaole Hwy Ste 106
Honolulu, HI 96825-1278
Phone (808) 751-7193

Other practice location 1

7192 Kalanianaole Hwy
Suite A200
Honolulu, HI 96825-1800
Phone (808) 396-6321

Other identifiers 4

IdentifierTypeStateIssuer
00A0028066OtherHIHMSA
025200MedicaidHI
00K0028064OtherHIHMSA
4630444OtherHIUHA

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
I20090926000083 HI Practitioner - Internal Medicine 3779672209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6700 Kalanianaole Hwy
Suite 106
Honolulu, HI 96825-1278
Phone (808) 751-7193

Hospital & facility affiliations

  • Bayada Home Health Care Home health agency, Honolulu, HI, CCN 127310
  • Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
  • Adventist Health Castle Hospital, Kailua, HI, CCN 120006
  • Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300

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

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Dec 23, 2001 Accepting new patients
Hawaii Kai Health Care LLC Internal Medicine CurrentSince Jul 22, 2024 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 23, 2001 Accepting new patients

Locations

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

6700 Kalanianaole Hwy
Ste 106
Honolulu, HI 96825
Phone (808) 395-4454

7192 Kalanianaole Hwy
Ste A200
Honolulu, HI 96825
Phone (808) 396-6321

1946 Young St
Ste 320
Honolulu, HI 96826

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.

Hospital & facility affiliations 6

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1992878698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KALANIANAOLE HWY STE 106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251278",
            "telephone_number": "808-751-7193",
            "fax_number": "808-451-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KALANIANAOLE HWY STE 106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251278",
            "telephone_number": "808-751-7193",
            "fax_number": "808-451-2060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7192 Kalanianaole Hwy",
            "address_2": "Suite A200",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968251800",
            "country_code": "US",
            "telephone_number": "808-396-6321",
            "fax_number": "808-395-7160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NORDYKE",
        "first_name": "THOMAS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-5885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0028066",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025200",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00K0028064",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "4630444",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.