Individual provider Active NPI

Jerem Nohea Kaawaloa, M.D.

  • Family Medicine Physician
  • Hilo, HI
National Provider Identifier
1114113495
Registry record updated Jun 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14077 Issued in HI
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080327000799 HI Practitioner - Family Practice 2668558834 Reassigns benefits to 1 organization

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
Hui Malama Ola NA OiwiGroup PAC ID 3274559265, 4 clinicians

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

OrganizationSpecialtyStatusNew patients
Hui Malama Ola NA 'Oiwi CurrentSince Nov 3, 2025 Accepting new patients
Randall H. Hirata M.D., Inc. CurrentSince Nov 3, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAJCBD
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.