Active NPI
Krishanna Takemoto-Gentile, M.D.
- Family Medicine Physician
- Honolulu, HI
National Provider Identifier
1124435821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD19034
- Practice address
- 2632 S King St
Honolulu, HI 96826-3243 - Phone
- (808) 955-1544
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD19034 | HI | Primary |
Addresses
Primary practice location
2632 S King St
Honolulu, HI 96826-3243
Mailing address
2632 S King St
Honolulu, HI 96826-3243
Phone (808) 955-1544
Other practice location 1
1001 W Main St
Suite B
Freehold, NJ 07728-2579
Phone (732) 294-2540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2632 S King St
Honolulu, HI 96826-3243
Hospital & facility affiliations
- Kapiolani Medical Center for Women & Children
- The Queens Medical Center
- Straub Clinic and Hospital
- Pali Momi Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19034 | HI | MD | Family Medicine Physician |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GECEAA/Endpoint/GECEAA
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Honolulu, HI
- NPI 1043263080
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1124435821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2632 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968263243",
"telephone_number": "808-955-1544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2632 S KING ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968263243",
"telephone_number": "808-955-1544"
}
],
"practiceLocations": [
{
"address_1": "1001 W Main St",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Freehold",
"state": "NJ",
"postal_code": "077282579",
"country_code": "US",
"telephone_number": "732-294-2540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAKEMOTO-GENTILE",
"first_name": "KRISHANNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "MD19034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
- 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.