P Praxis·MD
● Active Type 1 · Individual

DR. Keith K. Ogasawara, MD

Obstetrics & Gynecology·Idaho Falls, ID· NPI 1336240449 · Enumerated 2006 · 19 years on NPI
Ogasawara is 1 of 2 obstetrics & gynecology providers in Idaho Falls and 1 of 16 in Idaho.
NPI age
19 years
Enumerated 2006-09-25
Primary specialty
Obstetrics & Gynecology
Plus 1 subspecialty
Licensed in
ID, HI
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-09-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 16 active obstetrics & gynecology providers in Idaho.

NPI age
19 years
≈ at median (19 yr)
State licenses
2 states
Top 43% — 56% of peers are multi-state
Subspecialties
0
62% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-09Enumerated in NPPES
2006 2026

Where they practice

Practice location
3200 Channing Way Ste A102
Idaho Falls, ID 834047561
📞 2085282925
Mailing address
3974 Old Pali Rd
Honolulu, HI 968171009
📞 8082841343

Additional practice locations

1 secondary location on file with NPPES.

Location 2
3288 Moanalua Rd
Honolulu, HI 968191469
📞 8084320000

Specialties

  • Obstetrics & Gynecology Primary
    An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their...
    ID license #M-16831HI license #MD-7527 taxonomy 207VM0101X

Identifiers

TypeValueNotes
05 (HI) 078671-02
01 (HI) 00C0207468 HMSA BILLING NUMBER
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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