Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AYESHA WILBOURN M.D.
NPI 1962858415
Family Medicine in Honolulu, HI

Q: What is Ayesha Wilbourn's NPI number?

The NPI number for Ayesha Wilbourn is 1962858415. It was assigned to this individual provider in the NPPES registry on May 13, 2016. The provider is also known as Ayesha Safo.

Q: What is Ayesha Wilbourn'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 Ayesha Wilbourn was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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 May 13, 2016PECOS EnrolledAccepts Medicare Assignment

400 KEAWE ST, HONOLULU, HI 96813(808) 735-0007 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ayesha Wilbourn M.d. NPPES

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

AYESHA WILBOURN M.D. (NPI 1962858415) is an individual family medicine provider in Honolulu, Hawaii, licensed in Hawaii (MD-23573) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962858415

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameAYESHA WILBOURNCredential: M.D.

Location Address400 KEAWE STHonolulu, HI 96813-5199

Mailing Address400 Keawe StHonolulu, HI 96813-5199 · (808) 735-0007

Phone(808) 735-0007

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 13, 2016

Last NPPES UpdateJune 30, 2026

NPPES CertifiedJune 30, 2026

✔ NPI 1962858415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in HI · MD-23573✔ Licensed in NC · 217603

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.

400 KEAWE ST, Honolulu, HI 96813

Open in Google Maps ↗

Other Names 1

Former Name (1)Ayesha Safo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ayesha Wilbourn 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 ID6901199405

PECOS Enrollment IDI20230821000710

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.

Areas of Expertise CMS Part B claims 8

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.

106 services99 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

89 services89 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

70 services34 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

46 services45 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

32 services32 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IUC HOLDINGS INC

Emergency Medicine

400 KEAWE ST
HONOLULU, HI 96813

Honolulu County (808) 735-0007

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 Ayesha Wilbourn's NPI number?

The NPI number for Ayesha Wilbourn is 1962858415. It was assigned to this individual provider in the NPPES registry on May 13, 2016. The provider is also known as Ayesha Safo.

Where is Ayesha Wilbourn located?

Ayesha Wilbourn practices at 400 Keawe St, Honolulu, HI 96813. The listed phone number is (808) 735-0007.

What is Ayesha Wilbourn's specialty?

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

Is Ayesha Wilbourn enrolled in Medicare?

Yes. Ayesha Wilbourn 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.

Is Ayesha Wilbourn affiliated with any hospitals?

According to CMS data, Ayesha Wilbourn is affiliated with The Queens Medical Center.

When was this NPI record last updated?

The NPPES record for Ayesha Wilbourn was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.