Individual provider Active NPI

Kellie Kurasaki, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Honolulu, HI
National Provider Identifier
1144783887
Registry record updated Oct 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD-22453 Issued in HI
Practice address
405 N Kuakini St Ste 1009
Honolulu, HI 96817-6301
Phone
(808) 547-9105
Fax
(808) 824-3210
NPI assigned
Apr 10, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD-22453 HI Primary

Addresses

Primary practice location

405 N Kuakini St Ste 1009
Honolulu, HI 96817-6301

Mailing address

405 N Kuakini St Ste 1009
Honolulu, HI 96817-6301

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
I20240819003607 HI Practitioner - Family PracticePractitioner - Geriatric Medicine 6406180884 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kuakini Support Services IncGroup PAC ID 2264731587, 2 clinicians

Practice addresses (Care Compare)

405 N Kuakini St
Suite 1009
Honolulu, HI 96817-6301
Phone (808) 547-9105

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-22453HIMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kuakini Support Services, Inc. CurrentSince Sep 1, 2024 Accepting new patients
Kellie Kurasaki, MD, LLC Geriatric Medicine Current Accepting new patients

Locations

347 N Kuakini St
#9
Honolulu, HI 96817
Phone (808) 523-8461

405 N Kuakini St
Ste 1009
Honolulu, HI 96817
Phone (808) 547-9073

1001 Kamokila Blvd
Ste 229
Kapolei, HI 96707

Networks

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

Interoperability endpoints

  • Direct secure messaging: kkurasaki1131440@wm.providencedirect.org
  • Direct secure messaging: kellie.kurasaki@33114305593348.direct.elationemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1554854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728691200000",
    "number": "1144783887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 1009",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST STE 1009",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176301",
            "telephone_number": "808-547-9105",
            "fax_number": "808-824-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURASAKI",
        "first_name": "KELLIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-10",
        "last_updated": "2024-10-12",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "MD-22453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.