DR. SUE ELLEN OCONNOR MD
NPI 1154309847
Internal Medicine in Kailua Kona, HI

Q: What is Sue Oconnor's NPI number?

The NPI number for Sue Oconnor is 1154309847. It was assigned to this individual provider in the NPPES registry on January 4, 2006. The provider is also known as Sue Ellen Baum MD.

Q: What is Sue Oconnor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sue Oconnor was last updated on March 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 04, 2006PECOS Enrolled

75-5751 KUAKINI HWY STE 101A, KAILUA KONA, HI 96740(808) 326-5629 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2023, Oct 23, 2018 (2 updates tracked since 2018).

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About Dr. Sue Ellen Oconnor Md NPPES

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

DR. SUE ELLEN OCONNOR MD (NPI 1154309847) is an individual internal medicine provider in Kailua Kona, Hawaii, licensed in Hawaii (22267) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1996).

NPPES Registry Identity

NPI1154309847

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SUE ELLEN OCONNORCredential: MD

Location Address75-5751 KUAKINI HWY STE 101AKailua Kona, HI 96740-1705

Mailing Address75-5751 Kuakini Hwy Ste 203Kailua Kona, HI 96740-1753 · (808) 326-5629

Phone(808) 326-5629

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1996

Enumeration DateJanuary 4, 2006

Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1154309847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in HI · 22267✔ Licensed in TX · L2795

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.

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License L2795 (TX)

75-5751 KUAKINI HWY STE 101A, Kailua Kona, HI 96740

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Other Names 1

Former Name (1)Sue Ellen Baum Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sue Ellen Oconnor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547264384

PECOS Enrollment IDI20220429001655

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$136.68 typical visit price

range $60.53 – $180.05

Typical copayment $34.17 (range $15.13 – $45.01)

Most-billed visit code 99204

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CLARE NELSON PA-C

Student in an Organized Health Care Education/Training Program