Active NPI
Jerem Nohea Kaawaloa, M.D.
- Family Medicine Physician
- Hilo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14077
- Practice address
- 868 Ululani St
Suite 106
Hilo, HI 96720-3913 - Phone
- (808) 933-1120
- Fax
- (808) 933-1125
- NPI assigned
- Sep 19, 2007
- Last updated
- Jun 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14077 | HI | Primary |
Addresses
Primary practice location
868 Ululani St
Suite 106
Hilo, HI 96720-3913
Mailing address
868 Ululani St
Suite 106
Hilo, HI 96720-3913
Phone (808) 933-1120
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Hawaii John a. Burns School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
82 Puuhonu PL
Suite 209
Hilo, HI 96720-2010
Phone (808) 796-3125
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hui Malama Ola NA 'Oiwi | Current | Accepting new patients | |
| Randall H. Hirata M.D., Inc. | Current | Accepting new patients |
Locations
1438 Kilauea Ave
Hilo, HI 96720
Phone (808) 796-3125
82 Puuhonu Pl
Ste 209
Hilo, HI 96720
Phone (808) 796-3125
Networks
- HI PPO
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AAJCBD
- jerem.kaawaloa@hawaiihie.medicity.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Hilo, HI
- NPI 1134133713
-
- Family Medicine Physician
- Hilo, HI
- NPI 1124262894
-
- Obstetrics & Gynecology Physician
- Hilo, HI
- NPI 1356864433
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402531200000",
"number": "1114113495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 ULULANI ST",
"address_2": "SUITE 106",
"city": "HILO",
"state": "HI",
"postal_code": "967203913",
"telephone_number": "808-933-1120",
"fax_number": "808-933-1125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 ULULANI ST",
"address_2": "SUITE 106",
"city": "HILO",
"state": "HI",
"postal_code": "967203913",
"telephone_number": "808-933-1120",
"fax_number": "808-933-1125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAAWALOA",
"first_name": "JEREM",
"middle_name": "NOHEA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-19",
"last_updated": "2014-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "14077",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2014; 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.