Individual provider Active NPI

Kaipo Kaiulu Haa Lindsey, PA-C

  • Physician Assistant
  • Kaneohe, HI
National Provider Identifier
1184174724
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AMD-717 Issued in HI
Practice address
46-001 Kamehameha Hwy Ste 109
Kaneohe, HI 96744-3724
Phone
(808) 247-7596
NPI assigned
Oct 6, 2016
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AMD-717 HI Primary

Addresses

Primary practice location

46-001 Kamehameha Hwy Ste 109
Kaneohe, HI 96744-3724

Mailing address

46-001 Kamehameha Hwy Ste 109
Kaneohe, HI 96744-3724
Phone (808) 247-7596

Other practice location 1

45-1144 Kamehameha Hwy
#500
Kaneohe, HI 96744-3244
Phone (808) 247-9408

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161222001313 HI Practitioner - Physician Assistant 1759662141 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portner Orthopedic Rehabilitation IncorporatedGroup PAC ID 7214928092, 4 clinicians
Scott J Miscovich MD LLCGroup PAC ID 2961391537, 8 clinicians

Practice addresses (Care Compare)

45-1144 Kamehameha Hwy
Kaneohe, HI 96744-3226
Phone (808) 247-9408

46-001 Kamehameha Hwy
Suite 109
Kaneohe, HI 96744-3724
Phone (808) 247-7596

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: kaipo.lindsey@24530103894020.direct.elationemr.com
  • Direct secure messaging: kaipo.lindsey@809341831872516.direct.elationemr.com
  • Direct secure messaging: kaipo.lindsey@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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1184174724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 109",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443724",
            "telephone_number": "808-247-7596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY STE 109",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443724",
            "telephone_number": "808-247-7596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45-1144 Kamehameha Hwy",
            "address_2": "#500",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967443244",
            "country_code": "US",
            "telephone_number": "808-247-9408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSEY",
        "first_name": "KAIPO",
        "middle_name": "KAIULU HAA",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-06",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "HI",
            "license": "AMD-717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.