Haku Kevin Kahoano, M.D.
Individual provider Active NPI General Practice Physician · Jamestown, CA
NPI 1073714937 · NPPES record last updated May 18, 2015
Key facts
- NPI
- 1073714937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- MD-14815 (HI)
- Practice address
- 18144 Seco St
Mathiesen Memorial Health Clinic
Jamestown, CA 95327-9737 - Phone
- (209) 984-4824
- NPI assigned
- May 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bethany Medical Center
Practice addresses (Care Compare)
507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.84 of 100
- Quality
- 70.27
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.52
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200424002212 | NC | Practitioner - Internal Medicine | 8426362906 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethany Medical Center | Internal Medicine | Current | Accepting new patients |
| Bethany Medical Center, PA | Internal Medicine | Current |
Accepting new patients |
| Bethany Medical Center | Current | Accepting new patients | |
| Bethany Medical Center | Internal Medicine | Current |
Accepting new patients |
| Bethany Medical Center | Internal Medicine | Past | Accepting new patients |
| Bethany Medical Center, PA | Internal Medicine | Past | Accepting new patients |
| Mathiesen Memorial Health Center | Past |
Accepting new patients | |
| Bethany Medical Center PA | Internal Medicine | Past | Accepting new patients |
| Bethany Medical Center | Internal Medicine | Past | Accepting new patients |
Locations
3402 Battleground Ave
Greensboro, NC 27410
Phone (336) 545-1515
645 N Main St
High Point, NC 27260
Phone (336) 882-7700
3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610
3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850
507 N Lindsay St
High Point, NC 27262
3610 Peters Ct
High Point, NC 27265
495 Arbor Hill Rd
Ste M
Kernersville, NC 27284
5093 University Pkwy
Winston Salem, NC 27106
Interoperability endpoints
- hakukahoano@bethanymed.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-14815 | HI | |
| General Practice Physician | 208D00000X | MD-14815 | HI | Yes |
| Adult Medicine Physician | 207QA0505X | MD-14815 | HI |
Addresses
Primary practice location
18144 Seco St
Mathiesen Memorial Health Clinic
Jamestown, CA 95327-9737
Mailing address
201 Highland Ridge Dr
Manhattan, KS 66503-2428
Phone (714) 916-5156
Other providers in Jamestown, CA
- John M Gonsalves
- Sheryl Allene Goularte
- Richard Perry Halliburton
- Glenda Jean Henderson-Balmet
- Jamestown School District
- Thomas King
- Jeffrey Frank Kocher
- Michelle J Low
- Blong Roger Ly
- Alejandro Gastello Martinez
All providers in Jamestown, CA · General Practice Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.