Individual provider Active NPI

Chelsey Keola, PA-C

  • Reproductive Endocrinology Physician
  • Honolulu, HI
National Provider Identifier
1043664535
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
AMD698 Issued in HI
Practice address
1585 Kapiolani Blvd
Honolulu, HI 96814-4522
Phone
(808) 545-2800
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 025905 NY
Reproductive Endocrinology Physician 207VE0102X AMD698 HI Primary

Addresses

Primary practice location

1585 Kapiolani Blvd
Honolulu, HI 96814-4522

Mailing address

1401 S Beretania St Ste 250
Honolulu, HI 96814-1876

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160810000489 HI Practitioner - Physician Assistant 8729372040 Reassigns benefits to 2 organizations
I20210204001218 NY Practitioner - Physician Assistant 8729372040

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AMD698HIMDReproductive Endocrinology Physician
025905NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Waikiki Health CurrentSince Aug 20, 2016 Accepting new patients
Waikiki Health CurrentSince Aug 20, 2016 Accepting new patients
Advanced Reproductive Medicine and Gynecology of Hawaii, Inc. PastSince May 1, 2024 Accepting new patients

Locations

845 22nd Ave
#5
Honolulu, HI 96816
Phone (808) 734-2034

277 Ohua Ave
Honolulu, HI 96815
Phone (808) 791-9355

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHHFAA/Endpoint/EHHFAA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1043664535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 250",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 KAPIOLANI BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144522",
            "telephone_number": "808-545-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOLA",
        "first_name": "CHELSEY",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "025905",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "HI",
            "license": "AMD698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.