DR. EMI OTA M.D., PH.D.
NPI 1609219112
Family Medicine in Honolulu, HI

Q: What is Emi Ota's NPI number?

The NPI number for Emi Ota is 1609219112. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Q: What is Emi Ota's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Emi Ota was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 April 15, 2013PECOS Enrolled

2250 KALAKAUA AVE STE 407, HONOLULU, HI 96815(808) 367-0513(808) 367-0514 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Emi Ota M.d., Ph.d. NPPES

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

DR. EMI OTA M.D., PH.D. (NPI 1609219112) is an individual family medicine provider in Honolulu, Hawaii, licensed in Hawaii (18532) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1609219112

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EMI OTACredential: M.D., PH.D.

Location Address2250 KALAKAUA AVE STE 407Honolulu, HI 96815-2546

Mailing Address2250 Kalakaua Ave Ste 407Honolulu, HI 96815-2546 · (808) 367-0513 · Fax (808) 367-0514

Phone(808) 367-0513

Fax(808) 367-0514

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateApril 15, 2013

Last NPPES UpdateAugust 29, 2016

✔ NPI 1609219112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in HI · 18532✔ Licensed in HI · MDR-6474

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2250 KALAKAUA AVE STE 407, Honolulu, HI 96815

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Emi Ota M.d., Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880972124

PECOS Enrollment IDI20161020002231

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 Reassignments

Medicare enrollment records show Emi Ota reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic-Ala Moana Inc

1.3 mi

Surgery

1441 KAPIOLANI BLVD STE 2000
Honolulu, HI 96814

Reassigned Medicare billing, Hawaii enrollment
14 clinicians in this Medicare group

NPI 1568494730 (808) 945-3719

Emi Ota, M.D., Inc.

4.8 mi

Primary Care

850 W HIND DR STE 205
Honolulu, HI 96821

Reassigned Medicare billing, Hawaii enrollment
Medicare enrollment name: Emi Ota, MD Inc

NPI 1790230480 (808) 377-3191

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120001

Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County

Emergency services Birthing friendly

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120022

Location888 S King StreetHonolulu, HI 96813 · Honolulu County

Emergency services

Kapiolani Medical Center For Women & Children

Childrens · Honolulu, HI

OwnershipVoluntary non-profit - Private

CMS Certification Number123300

Location1319 Punahou StreetHonolulu, HI 96826 · Honolulu County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96815 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening

36%236 patients2/55-star benchmark: 93%

Colorectal Cancer Screening

23%413 patients2/55-star benchmark: 88%

Diabetes: Eye Exam

0%52 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

17%52 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

94%1,341 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

50%1,026 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 9% · 410 patients

9%410 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Emi Ota's NPI number?

The NPI number for Emi Ota is 1609219112. It was assigned to this individual provider in the NPPES registry on April 15, 2013.

Where is Emi Ota located?

Emi Ota practices at 2250 Kalakaua Ave Ste 407, Honolulu, HI 96815. The listed phone number is (808) 367-0513.

What is Emi Ota's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Emi Ota enrolled in Medicare?

Yes. Emi Ota is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Emi Ota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emi Ota reassigns Medicare benefits to 2 organizations: St Lukes Clinic-Ala Moana Inc (Honolulu, HI) and Emi Ota, M.D., Inc. (Honolulu, HI). Each 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 Emi Ota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emi Ota accept?

Health plans from HMSA list Emi Ota 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.

Is Emi Ota affiliated with any hospitals?

According to CMS data, Emi Ota is affiliated with The Queens Medical Center, Straub Clinic And Hospital and Kapiolani Medical Center For Women & Children.

When was this NPI record last updated?

The NPPES record for Emi Ota was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.