Central Medical Clinic Inc - Medicare Primary Care in Honolulu, HI

Central Medical Clinic Inc is a medicare enrolled primary clinic (Surgery) in Honolulu, Hawaii. The current practice location for Central Medical Clinic Inc is 321 N. Kuakini St., Suite #201, Honolulu, Hawaii. For appointments, you can reach them via phone at (808) 523-8611. The mailing address for Central Medical Clinic Inc is 321 N. Kuakini St., Suite #201, Honolulu, Hawaii and phone number is (808) 523-8611.

Central Medical Clinic Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1003905944. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (808) 523-8611.

Contact Information

Central Medical Clinic Inc
321 N. Kuakini St.
Suite #201
Honolulu
HI 96817-2399
(808) 523-8611
Not Available

Primary Care Clinic Profile

Full NameCentral Medical Clinic Inc
SpecialitySurgery
Location321 N. Kuakini St., Honolulu, Hawaii
Authorized Official Name and PositionKeith Katano (ADMINISTRATOR)
Authorized Official Contact8085668187
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Central Medical Clinic Inc
321 N. Kuakini St.
Suite #201
Honolulu
HI 96817-2399

Ph: (808) 523-8611
Central Medical Clinic Inc
321 N. Kuakini St.
Suite #201
Honolulu
HI 96817-2399

Ph: (808) 523-8611

NPI Details:

NPI Number1003905944
Provider Enumeration Date10/11/2006
Last Update Date08/22/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3173506805
Medicare Enrollment IDO20040611001096

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Medical Identifiers

Medical identifiers for Central Medical Clinic Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003905944NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Primary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary
207V00000XObstetrics & Gynecology (* (Not Available))Primary
208000000XPediatrics (* (Not Available))Primary
2080P0205XPediatrics - Pediatric Endocrinology (* (Not Available))Primary
208600000XSurgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Central Medical Clinic Inc acts as a billing entity for following providers:
Provider NameRacquel Smith Bueno
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1548480742
PECOS PAC ID: 4880592047
Enrollment ID: I20070906000242

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Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316035900
PECOS PAC ID: 0547214793
Enrollment ID: I20100330000328

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Provider NameEliot Nobuo Tomomitsu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003904749
PECOS PAC ID: 6800840059
Enrollment ID: I20100330000650

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Provider NameAnthony Paul Siu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629166368
PECOS PAC ID: 1456305606
Enrollment ID: I20100331000159

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Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1194813832
PECOS PAC ID: 6901850155
Enrollment ID: I20100331000475

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Provider IdentifiersNPI Number: 1487742128
PECOS PAC ID: 2365496510
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Provider NameOwen Denji Kaneshiro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043308620
PECOS PAC ID: 4284688433
Enrollment ID: I20100405000506

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Provider NameMichael Hisashi Nagoshi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407945116
PECOS PAC ID: 3274587423
Enrollment ID: I20100420000633

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Provider NameMichael Ishioka
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811085400
PECOS PAC ID: 2567416704
Enrollment ID: I20100421000650

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Provider NameMark Miki Mugiishi
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1295823789
PECOS PAC ID: 1557315702
Enrollment ID: I20100527000224

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Provider NameArlene C Baldillo
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1124234331
PECOS PAC ID: 4183758659
Enrollment ID: I20100819000307

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