15TH MEDGRP JBHP-HICKAM
NPI 1588638167
Clinic/Center - Military/U.S. Coast Guard Outpatient in Honolulu, HI

NPI Status: Active since February 13, 2006

Contact Information

15TH MEDICAL GROUP SGSBR
755 SCOTT CIRCLE
HONOLULU, HI
ZIP 96853
Phone: (808) 449-2295
Fax: (808) 449-2297

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  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About 15TH MEDGRP JBHP-HICKAM

This page provides the complete NPI Profile along with additional information for 15th Medgrp Jbhp-hickam, a provider established in Honolulu, Hawaii operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1588638167 assigned on February 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated June 2025. The provider's . The authorized official of this NPI record is Jen Lewandowski (Defense Health Agency (dha) Financi)

NPI
1588638167
Provider Legal Name
15TH MEDGRP JBHP-HICKAM
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
15TH MEDICAL GROUP SGSBR 755 SCOTT CIRCLE HONOLULU, HI 96853
Location Phone
(808) 449-2295
Location Fax
(808) 449-2297
Mailing Address
15TH MEDICAL GROUP SGSBR 755 SCOTT CIRCLE HONOLULU, HI 96853
Mailing Phone
(808) 449-2295
Mailing Fax
(808) 449-2297
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-13-2006
Last Update Date
06-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
Taxonomy Description
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM1101XAmbulatory Health Care Facilities

Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure

 
2332000000XSuppliers

Military/U.S. Coast Guard Pharmacy

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEN LEWANDOWSKI

Authorized Official Title
DEFENSE HEALTH AGENCY (DHA) FINANCI
Authorized Official Phone
(703) 817-4030

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
12-03900OTHER (01)HINCPDP
1649379322OTHER (01)HINPPES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1588638167
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2516812316112
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 6 + 8 + 1 + 2 + 3 + 1 + 6 + 1 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1588638167 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588638167, enumerated in the NPI registry as an "organization" on February 13, 2006

The provider is located at 15th Medical Group Sgsbr 755 Scott Circle Honolulu, Hi 96853 and the phone number is (808) 449-2295

This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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