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DR. DEREK H. ICHIMURA D.M.D
NPI 1659432995
Dentist - General Practice in Aiea, HI

Active since December 12, 2006PECOS Enrolled
98-1247 KAAHUMANU ST STE 215, AIEA, HI 96701(808) 484-0529(808) 484-0629 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Derek H. Ichimura D.m.d NPPES

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

DR. DEREK H. ICHIMURA D.M.D (NPI 1659432995) is an individual general practice provider in Aiea, Hawaii, licensed in Hawaii (DT1557) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659432995
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DEREK H. ICHIMURACredential: D.M.D
Location Address98-1247 KAAHUMANU ST STE 215Aiea, HI 96701-5310
Mailing Address98-1247 Kaahumanu St Ste 215Aiea, HI 96701-5310 · (808) 484-0529 · Fax (808) 484-0629
Phone(808) 484-0529
Fax(808) 484-0629
Sole ProprietorYes
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659432995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in HI · DT1557
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
98-1247 KAAHUMANU ST STE 215, Aiea, HI 96701
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Derek H. Ichimura D.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96701 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
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Derek Ichimura's NPI number?

The NPI number for Derek Ichimura is 1659432995. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Derek Ichimura located?

Derek Ichimura practices at 98-1247 Kaahumanu St Ste 215, Aiea, HI 96701. The listed phone number is (808) 484-0529.

What is Derek Ichimura's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Derek Ichimura enrolled in Medicare?

Yes. Derek Ichimura is registered in the Medicare PECOS enrollment system.

What insurance does Derek Ichimura accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 3 other insurers list Derek Ichimura 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 Derek Ichimura was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.