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JUDD BOLOKER M.D.
NPI 1255334579
Pediatrics - Neonatal-Perinatal Medicine in Honolulu, HI

Active since May 31, 2005PECOS Enrolled
3288 MOANALUA RD, HONOLULU, HI 96819(808) 432-0000 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Judd Boloker M.d. NPPES

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

JUDD BOLOKER M.D. (NPI 1255334579) is an individual neonatal-perinatal medicine provider in Honolulu, Hawaii, licensed in Hawaii (MD-15619) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255334579
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameJUDD BOLOKERCredential: M.D.
Location Address3288 MOANALUA RDHonolulu, HI 96819-1469
Mailing Address3288 Moanalua RdHonolulu, HI 96819-1469 · (808) 432-0000
Phone(808) 432-0000
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateMay 27, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1255334579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in HI · MD-15619✔ Licensed in NJ · MA076064
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
3288 MOANALUA RD, Honolulu, HI 96819
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Other Identifiers 1

Medicaid0026735NJ

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judd Boloker M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Judd Boloker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hawaii Permanente Medical Group Inc
Same address
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
NPI 1710945969 (808) 432-0000

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

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.

DR. HEIDI M. SOLBERG-SHANKLE MD
Emergency Medicine
3288 MOANALUA RD
HONOLULU, HI 96819
Honolulu County (808) 432-0000
MS. CHONG SON AN APRN-BC
Nurse Practitioner
3288 MOANALUA RD
HONOLULU, HI 96819
Honolulu County (808) 432-0000
DR. ISAC C. THOMAS MD
Internal Medicine (Cardiovascular Disease)
3288 MOANALUA RD
HONOLULU, HI 96819
Honolulu County (808) 432-0000
MICHAEL M EBESU PT
Physical Therapist
3288 MOANALUA RD
HONOLULU, HI 96819
Honolulu County (808) 778-6728
AILEEN N. TAMURA
Hospitalist
3288 MOANALUA RD
HONOLULU, HI 96819
Honolulu County (808) 432-0000
MINHHANG QUY MUI PHARM.D.
Pharmacist
3288 MOANALUA RD
HONOLULU, HI 96819
Honolulu County (808) 432-7990
XIAOJIN ZHOU APRN, BC
Nurse Practitioner (Family)
3288 MOANALUA RD
HONOLULU, HI 96819
Honolulu County (808) 432-0000
MARC A. ALBERTSON PA-C
Physician Assistant (Medical)
3288 MOANALUA RD
HONOLULU, HI 96819
Honolulu County (808) 432-0000

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 Judd Boloker's NPI number?

The NPI number for Judd Boloker is 1255334579. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Judd Boloker located?

Judd Boloker practices at 3288 Moanalua Rd, Honolulu, HI 96819. The listed phone number is (808) 432-0000.

What is Judd Boloker's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Judd Boloker enrolled in Medicare?

Yes. Judd Boloker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Judd Boloker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judd Boloker reassigns Medicare benefits to Hawaii Permanente Medical Group Inc (Honolulu, HI). The 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 Judd Boloker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judd Boloker accept?

Health plans from Kaiser Permanente list Judd Boloker 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 Judd Boloker was last updated on May 27, 2021. 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.