Kellie Wo, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-24158 Issued in HI

Practice address

1380 Lusitana St Ste 501
Honolulu, HI 96813-2441

Phone

(808) 521-6273

NPI assigned

Jun 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Georgetown University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
• Kapiolani Medical Center for Women & Children Hospital, Honolulu, HI, CCN 123300
• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
• Kuakini Medical Center Hospital, Honolulu, HI, CCN 120007

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kellie Wo MD LLC

  • Family Medicine Physician
  • Honolulu, HI
  • NPI 1932956968
  Medicare reassignment NPD Authorized official
• Galen Y.K. Chock, M.D., Inc.

  • Pediatrics Physician
  • Honolulu, HI
  • NPI 1225816127
  NPD

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

• Kapiolani Medical Center for Women & Children

  • Children's Hospital
  • Honolulu, HI
  • NPI 1043263080
  Care Compare affiliation
• Kuakini Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1215939335
  Care Compare affiliation
• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1043888282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132441",
            "telephone_number": "808-521-6030",
            "fax_number": "808-521-6273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132441",
            "telephone_number": "808-521-6273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WO",
        "first_name": "KELLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-24158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel R Wishik-Miller, M.D. M.P.H.
• With Grace Parenting LLC
• Nancy Wallies Withers, M.D., PH.D.
• Teresa T Witten
• WLL Ohana LLC
• Hiroko Woessner
• Renee Wold
• Cortney Wolensky
• Carmela Ara Wolf
• Felix Wolf, L.AC. M.S.O.M.

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.