Individual provider Active NPI

Kana Maeji Carter, DO

  • Family Medicine Physician
  • Aiea, HI
National Provider Identifier
1114589900
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOS-2400 Issued in HI
Practice address
98-1005 Moanglua Road
Suite 3030
Aiea, HI 96701
Phone
(808) 627-3200
Fax
(808) 623-7872
NPI assigned
Jul 2, 2019
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DOSR-492 HI
Family Medicine Physician 207Q00000X DOS-2400 HI Primary
Sports Medicine (Family Medicine) Physician 207QS0010X DOS-2400 HI

Addresses

Primary practice location

98-1005 Moanglua Road
Suite 3030
Aiea, HI 96701

Mailing address

98-1005 Moanglua Road
Suite 3030
Aiea, HI 96701
Phone (808) 627-3200

Other identifiers 1

IdentifierTypeStateIssuer
DOSR-492OtherHIMDR

Other names 1

  • Kana Maeji Former name

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
I20240222001050 HI Practitioner - Family PracticePractitioner - Sports Medicine 4183005465 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Touro Un Col of Osteopathic Medicine, New York, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pali Momi Medical CenterGroup PAC ID 6406746916, 90 clinicians

Practice addresses (Care Compare)

98 -1005 Moanalua Rd
Aiea, HI 96701-4777
Phone (808) 485-4500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.35 of 100Reported as group
Quality
67.49
Promoting interoperability
100
Improvement activities
40
Cost
77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOSR-492HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince May 4, 2025 Accepting new patients
Pali Momi Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Jan 8, 2024 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Jan 8, 2024 Accepting new patients
Pali Momi Medical Center CurrentSince Jan 8, 2024 Accepting new patients
Pali Momi Medical Center Past Accepting new patients
Kapiolani Medical Center Past Accepting new patients
University Clinical Education & Research Associates PastSince May 4, 2025 Accepting new patients

Locations

98-1005 Moanalua Rd
Aiea, HI 96701
Phone (808) 440-4800

98-1005 Moanalua Rd
Spc 3030
Aiea, HI 96701
Phone (808) 627-3200

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

55 Merchant St
Fl 22
Honolulu, HI 96813
Phone (808) 535-7600

Networks

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

Organizations & group practices 8

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1114589900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANGLUA ROAD",
            "address_2": "SUITE 3030",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-627-3200",
            "fax_number": "808-623-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANGLUA ROAD",
            "address_2": "SUITE 3030",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-627-3200",
            "fax_number": "808-623-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KANA",
        "middle_name": "MAEJI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-02",
        "last_updated": "2025-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOSR-492",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-2400",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "HI",
            "license": "DOS-2400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDR",
            "identifier": "DOSR-492",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KANA",
            "last_name": "MAEJI",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.