KEN NAGAMORI M.D. NPI 1952485146

NPI Information

NPI: 1952485146
Provider Name: KEN NAGAMORI, M.D.
Classification: Pediatrics - 2080A0000X
Entity Type: Individual

Specialization: Adolescent Medicine

PECOS Registration: Yes

Address:
1319 PUNAHOU ST
SUITE 1030
HONOLULU, HI
ZIP 96826
Phone: (808) 955-7772
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Ken Nagamori, M.D. is an adolescent medicine pediatrics in Honolulu, HI. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. Ken Nagamori, M.D. NPI is 1952485146. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1319 PUNAHOU ST
SUITE 1030
HONOLULU, HI
ZIP 96826-077
Phone: (808) 955-7772
Fax: (808) 955-0789

The NPI 1952485146 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 1/27/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0206X	Pediatrics	Pediatric Gastroenterology	5279	HAWAII	No
2	2080A0000X	Pediatrics	Adolescent Medicine	5279	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A20220	OTHER	HAWAII	HMSA
2	01883101	MEDICAID	HAWAII
3	00188310	OTHER	HAWAII	ALOHA CARE
4	MD5279	OTHER	HAWAII	MDX
5	F82437	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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