Individual provider Active NPI

Kelcy Higa, M.D.

  • Emergency Medicine Physician
  • Tucson, AZ
National Provider Identifier
1023465630
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
R75733 Issued in AZ
Practice address
3950 S Country Club Rd
Ste. 200
Tucson, AZ 85714-2099
Phone
(520) 626-5582
Fax
(520) 626-2819
NPI assigned
May 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-20274 HI
Emergency Medicine Physician 207P00000X R75733 AZ Primary

Addresses

Primary practice location

3950 S Country Club Rd
Ste. 200
Tucson, AZ 85714-2099

Mailing address

3950 S Country Club Rd
Ste. 200
Tucson, AZ 85714-2099
Phone (520) 626-5582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190924003917 HI Practitioner - Emergency Medicine 7719267202 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Emergency Physicians Associated IncGroup PAC ID 2860390283, 119 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 974-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R75733AZMDEmergency Medicine Physician
MD-20274HIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Oct 13, 2020 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Oct 13, 2020 Accepting new patients
Hawaii Emergency Physicians Associated Inc Emergency Medicine CurrentSince Sep 3, 2019 Accepting new patients
Honokaa Hospital & Skilled Nursing CurrentSince Oct 13, 2020 Accepting new patients
Kau Hospital CurrentSince Oct 13, 2020 Accepting new patients
Midpacific Hospitalists LLC Past Accepting new patients

Locations

1285 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3878

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

45-547 Plumeria St
Honokaa, HI 96727
Phone (808) 775-7211

56-117 Pualalea St
Kahuku, HI 96731
Phone (808) 293-9221

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

Interoperability endpoints

  • Direct secure messaging: khiga20407@hhsc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1023465630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 S COUNTRY CLUB RD",
            "address_2": "STE. 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142099",
            "telephone_number": "520-626-5582",
            "fax_number": "520-626-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S COUNTRY CLUB RD",
            "address_2": "STE. 200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142099",
            "telephone_number": "520-626-5582",
            "fax_number": "520-626-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGA",
        "first_name": "KELCY",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD-20274",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "R75733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.