Individual provider Active NPI

Kristy Kimi Iwahashi-Marquez, DPM

  • Primary Podiatric Medicine Podiatrist
  • Aiea, HI
National Provider Identifier
1225534159
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO235 Issued in HI
Practice address
98-1079 Moanalua Rd Ste 400
Aiea, HI 96701-4715
Phone
(808) 488-8101
Fax
(808) 488-8389
NPI assigned
Mar 31, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Assistant 211D00000X
Student in an Organized Health Care Education/Training Program 390200000X
Primary Podiatric Medicine Podiatrist 213EP1101X PO235 HI Primary

Addresses

Primary practice location

98-1079 Moanalua Rd Ste 400
Aiea, HI 96701-4715

Mailing address

98-1079 Moanalua Rd
Ste 400
Aiea, HI 96701-4715
Phone (808) 488-8101

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220204001704 HI Practitioner - Podiatry 5597158097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

98 -1079 Moanalua Rd
Suite 400
Aiea, HI 9670144ND

Hospital & facility affiliations

  • Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Merit-based Incentive Payment System (MIPS)

Final score
69.73 of 100Reported as group
Quality
39.45
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue89
Removal of skin lesions1-10
Removal of nail tissue306
Removal or shaving of skin growth192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO235HIMDPrimary Podiatric Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Foot & Ankle Associates LLC Past Accepting new patients

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8f6ecc28-1041-4fcd-81c1-b28615978693/

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 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": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1225534159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD",
            "address_2": "STE 400",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014715",
            "telephone_number": "808-488-8101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 400",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014715",
            "telephone_number": "808-488-8101",
            "fax_number": "808-488-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IWAHASHI-MARQUEZ",
        "first_name": "KRISTY",
        "middle_name": "KIMI",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "211D00000X",
            "taxonomy_group": "",
            "desc": "Assistant, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "HI",
            "license": "PO235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.