1. Home
  2. Directory
  3. Hawaii
  4. Honolulu
  5. Specialist
  6. NPI Profile

DR. MARK HIRAOKA M.D.
NPI 1811943236
Specialist in Honolulu, HI

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
85.78/100
CMS Quality Rating
1319 PUNAHOU ST, 8TH FLOOR, HONOLULU, HI 96826(808) 203-6588(808) 951-1637 Get Directions Write a Review

NPPES record last updated: September 9, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mark Hiraoka M.d. NPPES

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

DR. MARK HIRAOKA M.D. (NPI 1811943236) is an individual specialist in Honolulu, Hawaii, licensed in Hawaii (MD11316) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Kapiolani Medical Center For Women & Children, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1997).

NPPES Registry Identity

NPI1811943236
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. MARK HIRAOKACredential: M.D.
Location Address1319 PUNAHOU ST, 8TH FLOORHonolulu, HI 96826
Mailing Address677 Ala Moana Blvd, Suite 1025Honolulu, HI 96813-5419 · (808) 535-5975 · Fax (808) 535-5976
Phone(808) 203-6588
Fax(808) 951-1637
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1997
Enumeration DateMay 26, 2006
Last NPPES UpdateSeptember 9, 2011
✔ NPI 1811943236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in HI · MD11316
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1319 PUNAHOU ST, 8TH FLOOR, Honolulu, HI 96826
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type UnspecifiedPENDINGHI
MedicaidPENDINGHI

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 and accepts Medicare assignment

Dr. Mark Hiraoka M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42213324
PECOS Enrollment IDI20060808000069
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

4

Medicare enrollment records show Mark Hiraoka reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kapiolani Medical Center For Women & Children
Same address
Multi-Specialty
1319 PUNAHOU ST
Honolulu, HI 96826
  • Reassigned Medicare billing, Hawaii enrollment
  • 262 clinicians in this Medicare group
NPI 1548215692 (808) 983-6000
Kapiolani Medical Specialists
Same address
Multi-Specialty
1319 PUNAHOU ST
Honolulu, HI 96826
  • Reassigned Medicare billing, Hawaii enrollment
  • 370 clinicians in this Medicare group
NPI 1124071014 (808) 983-8736
The Queen's Medical Center
0.4 mi
Clinic/Center
1401 S BERETANIA ST STE 350
Honolulu, HI 96814
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: The Queens Medical Center
  • 809 clinicians in this Medicare group
NPI 1366065591 (808) 941-2244
Waianae District Comprehensive Health And Hospital Board, Inc
13 mi
Clinic/Center
94-428 MOKUOLA ST STE 108B
Waipahu, HI 96797
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: Waianae District Comprehensive Health And Hospital Board Incorporated
  • 240 clinicians in this Medicare group
NPI 1447727318 (808) 697-3888

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 2

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.

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
22 services22 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

OwnershipVoluntary non-profit - Private
CMS Certification Number123300
Location1319 Punahou StreetHonolulu, HI 96826 · Honolulu County
Emergency services

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.

85.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.96
Promoting Interoperability100
Improvement Activities40
Cost69.65

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 Mark Hiraoka's NPI number?

The NPI number for Mark Hiraoka is 1811943236. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Mark Hiraoka located?

Mark Hiraoka practices at 1319 Punahou St, 8th Floor, Honolulu, HI 96826. The listed phone number is (808) 203-6588.

What is Mark Hiraoka's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mark Hiraoka enrolled in Medicare?

Yes. Mark Hiraoka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mark Hiraoka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hiraoka reassigns Medicare benefits to 4 organizations: Kapiolani Medical Center For Women & Children (Honolulu, HI), Kapiolani Medical Specialists (Honolulu, HI), The Queen's Medical Center (Honolulu, HI) and Waianae District Comprehensive Health And Hospital Board, Inc (Waipahu, 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 Mark Hiraoka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Hiraoka accept?

Health plans from HMSA list Mark Hiraoka 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 Mark Hiraoka affiliated with any hospitals?

According to CMS data, Mark Hiraoka is affiliated with Kapiolani Medical Center For Women & Children.

When was this NPI record last updated?

The NPPES record for Mark Hiraoka was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.