Unknown Individual – Anesthesiology Physician, NPI 1710924014

Anesthesiology Physician

Unknown Individual is a healthcare provider. based in Honolulu, Hawaii. specializing in Anesthesiology Physician. They hold a License No. 13169 (HI). The NPI Number for Unknown Individual is 1710924014

Main info

Organization

Inactive

28 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1710924014

Phone

(808) 946-1712

Address

1575 S BERETANIA ST

Deactivation Date

28 August 2025

Doctor Profile

Medical School Name

GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

8089461712

Graduation Year

1998 (28 years ago)

PAC ID

1052352788

Group Practice PAC ID

7012807928

Professional Enrollment ID

I20060406000634

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience28

Completeness75

Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

1575, South Beretania Street, Pawaa, Honolulu, Honolulu County, Hawaii, 96826, United States
SUITE 201-202
HONOLULU, HI 968261149
Phone: (808) 946-1712
Fax: (808) 946-1728
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 96826)

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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: 7012807928View full group profile

Name	Specialty	State
SONTAYA L FUJIKAKE (MD)	A N E S T H E S I O L O G Y	HI
DR. JUDY Y KAMEOKA (MD)	A N E S T H E S I O L O G Y	HI
DR. JONATHAN DUCA (MD)	A N E S T H E S I O L O G Y	HI
CHARLES AUNG (MD)	A N E S T H E S I O L O G Y	HI
DILLON E CHANG (MD)	A N E S T H E S I O L O G Y	HI
LORREN L LOO (MD)	A N E S T H E S I O L O G Y	HI
LONG NGUYEN	A N E S T H E S I O L O G Y	HI
DEANE T CHUN (MD)	A N E S T H E S I O L O G Y	HI
ADA A MURAKAMI (MD)	Anesthesiology, Internal Medicine	HI
SCOTT YOSHIMI SUETSUGU (M.D.)	A N E S T H E S I O L O G Y	HI

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?

You can start verification with NPI 1710924014 for Unknown Individual, then check state licensing separately.

Why might Unknown Individual appear inactive while still practicing?

We display what the registry publishes: Unknown Individual appears inactive there.

What is Unknown Individual's specialty?

The listing groups Unknown Individual with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect Honolulu, Hawaii as a primary anchor for Unknown Individual unless the record lists multiple sites.

What does 'Individual Provider' mean on this profile?

Entity type tells you whether the number belongs to a person or an organization.

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