Individual provider Active NPI

Kenneth K Hamai, MD

  • Obstetrics & Gynecology Physician
  • Washington, MO
National Provider Identifier
1073587713
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
100463 Issued in MO
Practice address
851 E 5TH St
Suite 328
Washington, MO 63090-3130
Phone
(636) 239-1101
Fax
(636) 239-0250
NPI assigned
Feb 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 100463 MO Primary

Addresses

Primary practice location

851 E 5TH St
Suite 328
Washington, MO 63090-3130

Mailing address

851 E 5TH St
Suite 328
Washington, MO 63090-3130
Phone (636) 239-1101

Other identifiers 2

IdentifierTypeStateIssuer
160059353OtherMORAILROAD MEDICARE
1073587713MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20041104000102 MO Practitioner - Obstetrics/Gynecology 6800858598 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Saint Louis University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

851 E 5TH St
Washington, MO 63090-3130

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities Obstetrics & Gynecology CurrentSince Dec 1, 2003 Accepting new patients
Mercy Clinic East Communities Obstetrics & Gynecology Current Accepting new patients
Mercy Clinic East Communities Obstetrics & Gynecology CurrentSince Jul 1, 2007 Accepting new patients
Mercy Clinic East Communities Obstetrics & Gynecology CurrentSince Jul 1, 2007 Accepting new patients
Mercy Hospitals East Communities Past Accepting new patients

Locations

851 E 5th St
Ste 304
Washington, MO 63090
Phone (636) 239-8057

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

851 E 5th St
Ste 200
Washington, MO 63090
Phone (636) 239-8585

Interoperability endpoints

  • Direct secure messaging: khamai1714@directc.mercy.net

Organizations & group practices 5

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1073587713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST",
            "address_2": "SUITE 328",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903130",
            "telephone_number": "636-239-1101",
            "fax_number": "636-239-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 E 5TH ST",
            "address_2": "SUITE 328",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630903130",
            "telephone_number": "636-239-1101",
            "fax_number": "636-239-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMAI",
        "first_name": "KENNETH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "100463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "160059353",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073587713",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

Verify at the official NPI Registry.