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THE CARDIOLOGY CLINIC
NPI 1205103769
Internal Medicine - Cardiovascular Disease in Honolulu, HI

Active since November 28, 2011
321 N KUAKINI ST, #504, HONOLULU, HI 96817(808) 538-1125(808) 599-4245 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About The Cardiology Clinic NPPES

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

THE CARDIOLOGY CLINIC (NPI 1205103769) is a healthcare organization registered as a cardiovascular disease in Honolulu, Hawaii and active in the NPI registry since November 2011. The organization lists Osamu Fukuyama, President, as its authorized official.

NPPES Registry Identity

NPI1205103769
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameOSAMU FUKUYAMA MD INC
Location Address321 N KUAKINI ST, #504Honolulu, HI 96817-2364
Mailing Address321 N Kuakini St, #504Honolulu, HI 96817-2364 · (808) 538-1125 · Fax (808) 599-4245
Phone(808) 538-1125
Fax(808) 599-4245
Organization SubpartNo
Authorized OfficialOsamu FukuyamaPresident · (808) 538-1125
Enumeration DateNovember 28, 2011
✔ NPI 1205103769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in HI · MD-4346
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
321 N KUAKINI ST, Honolulu, HI 96817
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Other Names 1

Doing Business AsThe Cardiology Clinic

Other Identifiers 4

Other1096-7HI · Local Bcbs (hmsa) Provider No.
Medicare UPINC98767HI
Medicaid01053701HI
Medicare PIN0000BDLLWHI

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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Cardiology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20120307000889Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Cardiology Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Osamu Fukuyama, M.D.
Cardiovascular Disease (Cardiology)
NPI 1104978154
321 N KUAKINI ST SUITE 504
Honolulu, HI 96817
(808) 538-1125
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Osamu Fukuyama MD Inc's NPI number?

The NPI number for Osamu Fukuyama MD Inc is 1205103769. It was assigned to this organization in the NPPES registry on November 28, 2011. The provider is doing business as The Cardiology Clinic.

Where is Osamu Fukuyama MD Inc located?

Osamu Fukuyama MD Inc is located at 321 N Kuakini St #504, Honolulu, HI 96817. The listed phone number is (808) 538-1125.

What is Osamu Fukuyama MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Osamu Fukuyama MD Inc enrolled in Medicare?

Yes. Osamu Fukuyama MD Inc is registered in the Medicare PECOS enrollment system.

When is Osamu Fukuyama MD Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Osamu Fukuyama MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Osamu Fukuyama MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Osamu Fukuyama MD Inc was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.