Unknown Individual – Psychiatry Physician, NPI 1013013341

Unknown Individual is a healthcare provider. based in Lihue, Hawaii. specializing in Psychiatry Physician. They hold a License No. MD 6020 (HI). The NPI Number for Unknown Individual is 1013013341

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1013013341
Phone
(808) 274-3190
Address
4370 KUKUI GROVE STREET
Deactivation Date
6 October 2023

Doctor Profile

Medical School Name
VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Secondary Phone
8088323823
Graduation Year
1961 (65 years ago)
PAC ID
2961530647
Group Practice PAC ID
5395648539
Professional Enrollment ID
I20100518000120
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4370, Kukui Grove Street, Ulu Mahi, Lihue, Kauaʻi County, Hawaii, 96766, United States

    SUITE 3-211

    LIHUE, HI 96766

    Phone: (808) 274-3190

    Fax: (808) 274-3194

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96766)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395648539View full group profile
NameSpecialtyState
JULIE C HAYWARD (LCSW)
-HI
THI NGOC TRAN (M.D.)
-HI
KEN MATSUMOTO (M.D.)
-HI
SHALINI MISHRA (M.D.)
-HI
DR. GIAVANNA LAU (MD)
-HI
DR. MARIA ROSARIO GERVACIO MABINI (M.D.)
-HI
CLAIRE THERESE RAUSCH (APRN)
-HI

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1013013341.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Psychiatry Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Lihue, Hawaii?
For routing, start with Lihue, Hawaii for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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