Unknown Individual – Internal Medicine Physician, NPI 1700989191

Unknown Individual is a healthcare provider. based in Kailua, Hawaii. specializing in Internal Medicine Physician. They hold a License No. MD1410 (HI). The NPI Number for Unknown Individual is 1700989191

Main info

Organization
Inactive
65 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700989191
Phone
(808) 262-6951
Address
30 AULIKE ST
Deactivation Date
13 February 2025

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1961 (65 years ago)
PAC ID
1658312434
Professional Enrollment ID
I20080121000317
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 30, Aulike Street, Kailua, Honolulu County, Hawaii, 96734, United States

    SUITE 601

    KAILUA, HI 967342752

    Phone: (808) 262-6951

    Fax: (808) 261-7856

    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 96734)

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Provider's Procedures

Unknown Individual performs procedures in Internal Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEHI94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration2524
INTERNAL MEDICINEHI94727Determination of lung volumes using gas dilution or washout2120

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1700989191 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Kailua, Hawaii as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.