Unknown Individual – Adult Medicine Physician, NPI 1295078327

Adult Medicine Physician

Unknown Individual is a healthcare provider. based in Honolulu, Hawaii. specializing in Adult Medicine Physician. They hold a License No. MD18655 (HI). The NPI Number for Unknown Individual is 1295078327

Main info

Organization

Inactive

16 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1295078327

Phone

(808) 845-3911

Address

634 KALIHI ST

Deactivation Date

7 October 2021

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2010 (16 years ago)

PAC ID

4587944822

Professional Enrollment ID

I20161202002019

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness75

Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

634 KALIHI ST
HONOLULU, HI 968194000
Phone: (808) 845-3911
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 96819)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?

Administrative and clinical systems typically use NPI 1295078327 for Unknown Individual.

Should I call the clinic if Unknown Individual is inactive here?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Adult Medicine Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Honolulu, Hawaii in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.

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