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FREDERICK FONG MD INC
NPI 1013066992
Internal Medicine in Honolulu, HI

Active since January 09, 2007CLIA 12D0620170 · Waiver
1380 LUSTIANA STREET, SUITE 514, HONOLULU, HI 96813(808) 531-7551(808) 537-3652 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frederick Fong Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDERICK FONG MD INC (NPI 1013066992) is a healthcare organization registered as an internal medicine in Honolulu, Hawaii and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through August 10, 2027 and lists Frederick Fong, President, as its authorized official.

NPPES Registry Identity

NPI1013066992
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFREDERICK FONG MD INC
Location Address1380 LUSTIANA STREET, SUITE 514Honolulu, HI 96813-2441
Mailing Address1380 Lustiana Street, Suite 514Honolulu, HI 96813-2441 · (808) 531-7551 · Fax (808) 537-3652
Phone(808) 531-7551
Fax(808) 537-3652
Organization SubpartNo
Authorized OfficialFrederick FongPresident · (808) 531-7551
Enumeration DateJanuary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013066992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · MD2477
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1380 LUSTIANA STREET, Honolulu, HI 96813
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Other Identifiers 2

Medicaid52862201HI
Other38893HI · Blue Cross

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D0620170

Frederick Fong MD · Honolulu, HI
Active · expires Aug 10, 2027
CLIA Number12D0620170
Laboratory TypePhysician Office
Certificate Effective DateAugust 11, 2025
Certificate Expiration DateAugust 10, 2027
Laboratory DirectorFrederick Fong MD
Laboratory Phone(808) 531-7551
Laboratory LocationFrederick Fong MD1380 Lusitana St, #514, Honolulu, HI 96813
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frederick Fong MD Inc's NPI number?

The NPI number for Frederick Fong MD Inc is 1013066992. It was assigned to this organization in the NPPES registry on January 9, 2007.

Where is Frederick Fong MD Inc located?

Frederick Fong MD Inc is located at 1380 Lustiana Street Suite 514, Honolulu, HI 96813. The listed phone number is (808) 531-7551.

What is Frederick Fong MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Frederick Fong MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D0620170) is associated with this NPI, valid through August 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frederick Fong MD Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.