EMI OTA, M.D., INC.
NPI 1790230480
Clinic/Center - Primary Care in Honolulu, HI

Q: What is Emi Ota, M.D., Inc.'s NPI number?

The NPI number for Emi Ota, M.D., Inc. is 1790230480. It was assigned to this organization in the NPPES registry on August 23, 2016.

Q: What is Emi Ota, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since August 23, 2016CLIA 12D2141821 · Waiver

850 W HIND DR STE 205, HONOLULU, HI 96821(808) 377-3191(808) 377-3192 Get Directions Write a Review

NPPES record last updated: November 10, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2016, Aug 26, 2016 (2 updates tracked since 2016).

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About Emi Ota, M.d., Inc. NPPES

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

EMI OTA, M.D., INC. (NPI 1790230480) is a healthcare organization registered as a primary care in Honolulu, Hawaii and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through December 20, 2027 and lists Emi Ota, Physician, as its authorized official.

NPPES Registry Identity

NPI1790230480

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameEMI OTA, M.D., INC.

Location Address850 W HIND DR STE 205Honolulu, HI 96821-1845

Mailing Address2235 Hoonanea StHonolulu, HI 96822-2489 · (808) 369-9227

Phone(808) 377-3191

Fax(808) 377-3192

Organization SubpartNo

Authorized OfficialEmi OtaPhysician · (808) 369-9227

Enumeration DateAugust 23, 2016

Last NPPES UpdateNovember 10, 20162 updates tracked since enumeration

✔ NPI 1790230480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

License✔ Licensed in HI · 18532

850 W HIND DR STE 205, Honolulu, HI 96821

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Emi Ota, M.D., Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Emi Ota, M.D., PH.D.

Family Practice

NPI 1609219112

2250 KALAKAUA AVE STE 407
Honolulu, HI 96815

(808) 367-0513

✔ PECOS4.8 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 12D2141821

Emi Ota MD Inc · Honolulu, HI

Active · expires Dec 20, 2027

CLIA Number12D2141821

Laboratory TypePhysician Office

Certificate Effective DateDecember 21, 2025

Certificate Expiration DateDecember 20, 2027

Laboratory DirectorDr. Emi Ota

Laboratory Phone(808) 377-3191

Laboratory LocationEmi Ota MD Inc850 West Hind Dr #205, Honolulu, HI 96821

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

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, M.D., Inc.'s NPI number?

The NPI number for Emi Ota, M.D., Inc. is 1790230480. It was assigned to this organization in the NPPES registry on August 23, 2016.

Where is Emi Ota, M.D., Inc. located?

Emi Ota, M.D., Inc. is located at 850 W Hind Dr Ste 205, Honolulu, HI 96821. The listed phone number is (808) 377-3191.

What is Emi Ota, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Emi Ota, M.D., Inc. enrolled in Medicare?

Yes. Emi Ota, M.D., Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emi Ota, M.D., Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Emi Ota, M.D., 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.

Does Emi Ota, M.D., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 12D2141821) is associated with this NPI, valid through December 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Emi Ota, M.D., Inc. was last updated on November 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.