Unknown Individual – Family Medicine Physician, NPI 1043315757

Unknown Individual is a healthcare provider. based in Kapolei, Hawaii. specializing in Family Medicine Physician. They hold a License No. MD-9833 (HI). The NPI Number for Unknown Individual is 1043315757

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1043315757
Phone
(808) 432-3600
Address
599 FARRINGTON HWY
Deactivation Date
3 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8086256444
Graduation Year
1995 (31 years ago)
PAC ID
2860535143
Group Practice PAC ID
6305759754
Professional Enrollment ID
I20100209000340
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

Loading map...

Provider Addresses for Unknown Individual

  • Farrington Highway, West Kapolei, Makakilo City, Kapolei, Honolulu County, Hawaii, 96707, United States

    KAPOLEI, HI 967072028

    Phone: (808) 432-3600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes5756$0
87804Detection test by immunoassay with direct visual observation for influenza virus3819$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc3029$0
99214Established patient office or other outpatient visit, 30-39 minutes2424$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 96707)

Loading plans...

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: 6305759754View full group profile
NameSpecialtyState
-HI
-HI
-HI
N E U R O L O G YHI
Interventional Radiology, Interventional CardiologyCA
Physician AssistantGA
N E U R O S U R G E R YNC
-HI
General PracticeHI
Thoracic SurgeryCT

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1043315757 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Kapolei, Hawaii may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

ELSA K. TSUTAOKA (MD)

Family Medicine Physician
Treat Boulevard, Walnut Creek, Contra Costa County, California, 94519, United States
NPI: 1275524589

OANH NGUYEN (D.O.)

Family Medicine Physician
Pearl Harbor, Eastport, Torch Lake Township, Antrim County, Michigan, 49648, United States
NPI: 1629054614

DEREK I MITO (MD)

Family Medicine Physician
599 FARRINGTON HWY STE 201
NPI: 1558335042
Farrington Highway, Waianae, Honolulu County, Hawaii, 96792, United States
NPI: 1275566424

DR. MASAKI TAKAI (MD)

Family Medicine Physician
94-1480 MOANIANI ST
NPI: 1619075769

DR. CHERIE L S RAFFELSON (MD)

Family Medicine Physician
401 KAMOKILA BLVD
NPI: 1295836120

DR. DONNA C. RUMBAOA (MD)

Family Medicine Physician
401 KAMOKILA BLVD
NPI: 1396846309

AMANDA N. S. TAKAI (MD)

Family Medicine Physician
1010 PENSACOLA ST
NPI: 1548352180

DR. STACY MIYAMOTO LAU (MD)

Family Medicine Physician
95-1011 HOLOLANI ST
NPI: 1407944051