DR. JOHN T. WATABE MD NPI 1083651087

NPI Information

  • NPI: 1083651087
  • Provider Name: DR. JOHN T. WATABE, MD
  • Classification: Radiology - 2085R0204X
  • Specialization: Vascular & Interventional Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 12D0940449
  • Address: 3288 MOANALUA RD
    HONOLULU, HI
    ZIP 96819
  • Phone: (808) 432-0000

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NPI Details

DR. John T. Watabe, MD is a vascular and interventional radiology radiology in Honolulu, HI. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. John T. Watabe, MD NPI is 1083651087. 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:

3288 MOANALUA RD
HONOLULU, HI
ZIP 96819-469
Phone: (808) 432-0000

The NPI 1083651087 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The CLIA number assigned to this NPI record is 12D0940449 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/31/2006 and was last updated on 5/26/2021.

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
1174400000XSpecialistMD-7267HAWAIINo
22085R0202XRadiologyDiagnostic RadiologyMD-7267HAWAIINo
32085R0204XRadiologyVascular & Interventional RadiologyMD-7267HAWAIIYes

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
10000214064OTHERHAWAIIHMSA BILLING NUMBER
2087636-01MEDICAIDHAWAII

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: 3/30/2025

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