Individual provider Active NPI

Darryl M Kan, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Honolulu, HI
National Provider Identifier
1063524007
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD7721 Issued in HI
Practice address
1380 Lusitana St
Suite 608
Honolulu, HI 96813-2421
Phone
(808) 536-2261
Fax
(808) 538-3957
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD7721 HI Primary

Addresses

Primary practice location

1380 Lusitana St
Suite 608
Honolulu, HI 96813-2421

Mailing address

1380 Lusitana St
Suite 608
Honolulu, HI 96813-2421
Phone (808) 536-2261

Other identifiers 1

IdentifierTypeStateIssuer
07195002MedicaidHI

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
I20100517000208 HI Practitioner - Orthopedic Surgery 9335038538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Southern California Keck School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
All Access Ortho Oahu LLCGroup PAC ID 9638618499, 20 clinicians

Practice addresses (Care Compare)

1401 S Beretania St
Suite 110
Honolulu, HI 96814-1871
Phone (808) 356-5699

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026
  • The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)19
Upper limb (arm) arthroscopy (minimally invasive joint repair)348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD7721HIMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
All Access Ortho Oahu LLC CurrentSince Aug 1, 2024 Accepting new patients
Orthopedic Services Company, LLP CurrentSince Aug 1, 1999 Accepting new patients
Orthopedic Associates of Hawaii, LLP CurrentSince Aug 1, 1999 Accepting new patients

Locations

1401 S Beretania St
Ste 102
Honolulu, HI 96814
Phone (808) 356-5699

1401 S Beretania St
Ste 600
Honolulu, HI 96814
Phone (808) 356-5614

1401 S Beretania St
Ste 110
Honolulu, HI 96814
Phone (808) 356-5699

1380 Lusitana St
Ste 608
Honolulu, HI 96813
Phone (808) 532-0315

1401 S Beretania St
Ste 750
Honolulu, HI 96814
Phone (808) 521-8183

95-1830 Meheula Pkwy
Ste C1011
Mililani, HI 96789
Phone (808) 356-5699

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

  • Direct secure messaging: darryl.kan@hawaiihie.medicity.net

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.

Hospital & facility affiliations 2

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063524007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 608",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-536-2261",
            "fax_number": "808-538-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 608",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132421",
            "telephone_number": "808-536-2261",
            "fax_number": "808-538-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAN",
        "first_name": "DARRYL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "HI",
            "license": "MD7721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07195002",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.