Individual provider Active NPI

Joan Setsuko Ruggieri Kagawa, M.D.

  • Psychiatry Physician
  • Honolulu, HI
National Provider Identifier
1184710816
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD11344 Issued in HI
Practice address
4218 Waialae Avenue
A106
Honolulu, HI 96816
Phone
(808) 735-0007
Fax
(808) 735-0021
NPI assigned
Oct 4, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD11344 HI Primary
Child & Adolescent Psychiatry Physician 2084P0804X MD11344 HI

Addresses

Primary practice location

4218 Waialae Avenue
A106
Honolulu, HI 96816

Mailing address

4218 Waialae Avenue
A106
Honolulu, HI 96816
Phone (808) 735-0007

Other identifiers 2

IdentifierTypeStateIssuer
00D0227902OtherHIHMSA NONPARTICIPATING
53734201MedicaidHI

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
I20111013000291 HI Practitioner - Psychiatry 0042482184 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD11344HIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Hawaii Department of Health CurrentSince Mar 1, 2022 Accepting new patients
State of Hawaii, Department of Health Current Accepting new patients
State of Hawaii Department of Health Psychiatry CurrentSince Mar 1, 2022 Accepting new patients
Kahala Urgent Care Inc. PastSince Aug 1, 2015 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1184710816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4218 WAIALAE AVENUE",
            "address_2": "A106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-735-0007",
            "fax_number": "808-735-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4218 WAIALAE AVENUE",
            "address_2": "A106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-735-0007",
            "fax_number": "808-735-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAGAWA",
        "first_name": "JOAN",
        "middle_name": "SETSUKO RUGGIERI",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD11344",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "HI",
            "license": "MD11344",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA NONPARTICIPATING",
            "identifier": "00D0227902",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53734201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.