Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ayesha Wilbourn, MD

Individual provider Family Medicine Physician · NPI 1962858415

Ayesha Wilbourn, MD is a Family Practice in Honolulu, Hawaii. Qualified in 2015, 11 years ago. Practices with Queens University Medical Group, a 623-clinician group and accepts Medicare assignment. Licensed in Hawaii and North Carolina.

Years since qualifying
11
Licensed in
HI, NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 Keawe St
Honolulu, HI 96813-5199
Phone: (808) 735-0007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD-23573 (HI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 217603 (NC)

Record details

NPI number1962858415
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 13, 2016
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address400 Keawe St, Honolulu, HI 96813-5199

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Queens University Medical Group — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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