Individual provider Active NPI

Judy Y Kameoka, MD

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1184609794
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-11159 Issued in HI
Practice address
1575 S Beretania St
Suite 201
Honolulu, HI 96826-1149
Phone
(443) 850-9597
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 0101231190 VA
Anesthesiology Physician 207L00000X D50691 MD
Anesthesiology Physician 207L00000X MD-11159 HI Primary

Addresses

Primary practice location

1575 S Beretania St
Suite 201
Honolulu, HI 96826-1149

Mailing address

60 N Beretania St Apt 3702
Suite 201
Honolulu, HI 96817-4764
Phone (443) 850-9597

Other identifiers 1

IdentifierTypeStateIssuer
401147300MedicaidMD

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
I20040610001445 HI Practitioner - Anesthesiology 8224024583 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of South Carolina School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Anesthesia Group IncGroup PAC ID 7012807928, 10 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

1575 S Beretania St
Suite 201 202
Honolulu, HI 96826-1151
Phone (808) 946-1712

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-11159HIMDAnesthesiology Physician
D50691MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Anesthesia Group Inc Anesthesiology CurrentSince May 1, 2014 Accepting new patients
Anesthesia Relief LLC Past Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology PastSince Jul 10, 2022 Accepting new patients
Medstream of Virginia, LLC Anesthesiology Past Accepting new patients
Anesthesia Healthcare Partners, Inc. Anesthesiology Past Accepting new patients
Anesthesia Associates of Richmond, Inc Anesthesiology Past Accepting new patients

Locations

1575 S Beretania St
Ste 201-202
Honolulu, HI 96826
Phone (808) 352-2081

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

1575 S Beretania St
Ste 201
Honolulu, HI 96826
Phone (808) 946-1712

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1184609794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 N BERETANIA ST APT 3702",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174764",
            "telephone_number": "443-850-9597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 S BERETANIA ST",
            "address_2": "SUITE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261149",
            "telephone_number": "443-850-9597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMEOKA",
        "first_name": "JUDY",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VA",
            "license": "0101231190",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D50691",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD-11159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401147300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.