Damien Kapono Chong-Hanssen, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

16530 Issued in HI

Practice address

4643 Waimea Canyon Drive
Suite B
Waimea, HI 96796-1192

Phone

(808) 240-0140

NPI assigned

May 28, 2009

Last updated

Feb 16, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Family Practice

Education

University of Southern California Keck School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoola Lahui HawaiiGroup PAC ID 2860303021, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kauai Veterans Memorial Hospital Hospital, Waimea, HI, CCN 121300
• Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

Merit-based Incentive Payment System (MIPS)

Final score

70.96 of 100Reported as group

Quality

47.2

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Kauai Hospice Inc

  • Community Based Hospice Care Agency
  • Lihue, HI
  • NPI 1407887813

  Corporate Director

  CMS ownership

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.

• Hoola Lahui Hawaii

  • Federally Qualified Health Center (FQHC)
  • Waimea, HI
  • NPI 1245269976
  Medicare reassignment Care Compare group NPD
• Hoola Lahui Hawaii

  • Federally Qualified Health Center (FQHC)
  • Kapa'a, HI
  • NPI 1891098513
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kauai Veterans Memorial Hospital

  • Critical Access Hospital
  • Waimea, HI
  • NPI 1467510743
  Care Compare affiliation
• Wilcox Memorial Hospital

  • Rural Acute Care Hospital
  • Lihue, HI
  • NPI 1225113442
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1114152501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "967960487",
            "telephone_number": "808-240-0140",
            "fax_number": "808-338-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 WAIMEA CANYON DRIVE",
            "address_2": "SUITE B",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "967961192",
            "telephone_number": "808-240-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHONG-HANSSEN",
        "first_name": "DAMIEN",
        "middle_name": "KAPONO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-28",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR-5691",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "16530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikaika Aguiar
• Elisabeth N. Biuk-Aghai, M.D.
• Surachat Chatkupt, M.D.
• Douglas E Ching, M.D.
• Michael A Clark, M.D.
• Stephen D Coleman, M.D.
• Sharon Dela Pena, RD
• Eliot A. Demello, MD
• Kenneth Fasig, DDS

• Family Medicine Physician in Waimea, HI
• Providers in Waimea, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.