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ISLAND UROLOGY OAHU LLC
NPI 1235481185
Urology in Honolulu, HI

Active since October 02, 2012
1329 LUSITANA ST STE 602, HONOLULU, HI 96813(808) 522-5055(808) 524-6306 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Island Urology Oahu Llc NPPES

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

ISLAND UROLOGY OAHU LLC (NPI 1235481185) is a healthcare organization registered as an urology in Honolulu, Hawaii and active in the NPI registry since October 2012. The organization lists Sergei Tikhonenkov, Owner, as its authorized official.

NPPES Registry Identity

NPI1235481185
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameISLAND UROLOGY OAHU LLC
Location Address1329 LUSITANA ST STE 602Honolulu, HI 96813-2431
Mailing Address1329 Lusitana St Ste 602Honolulu, HI 96813-2431 · (808) 522-5055 · Fax (808) 524-6306
Phone(808) 522-5055
Fax(808) 524-6306
Organization SubpartNo
Authorized OfficialSergei TikhonenkovOwner · (808) 522-5055
Enumeration DateOctober 2, 2012
✔ NPI 1235481185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in HI · MD-14871
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1329 LUSITANA ST STE 602, Honolulu, HI 96813
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Island Urology Oahu Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Island Urology Oahu LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Randall Blake, M.D.
Urology
NPI 1447226055
1329 LUSITANA ST SUITE 602
Honolulu, HI 96813
(808) 522-5055
✔ PECOSSame address
Sergei Tikhonenkov, MD
Urology
NPI 1104973908
1329 LUSITANA ST SUITE 602
Honolulu, HI 96813
(808) 522-5055
✔ PECOS✔ Accepts MedicareSame 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 Island Urology Oahu LLC's NPI number?

The NPI number for Island Urology Oahu LLC is 1235481185. It was assigned to this organization in the NPPES registry on October 2, 2012.

Where is Island Urology Oahu LLC located?

Island Urology Oahu LLC is located at 1329 Lusitana St Ste 602, Honolulu, HI 96813. The listed phone number is (808) 522-5055.

What is Island Urology Oahu LLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Island Urology Oahu LLC enrolled in Medicare?

Yes. Island Urology Oahu LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Island Urology Oahu LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Urology, reassign their Medicare billing to Island Urology Oahu LLC. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Island Urology Oahu LLC accept?

Health plans from HMSA list Island Urology Oahu LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Island Urology Oahu LLC was last updated on October 2, 2012. 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.