Ashok Kannan, DO

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

DOS-2077 Issued in HI

Practice address

5409 Laipo Rd
Kapaa, HI 96746-2118

Phone

(808) 431-5322

NPI assigned

May 18, 2017

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Geriatric Medicine

Education

Lake Erie College of Osteopathic Medicine, Erie, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Home Health Kauai Home health agency, Lihue, HI, CCN 127311
• Kauai Hospice Hospice, Lihue, HI, CCN 121507
• Samuel Mahelona Memorial Hospital Hospital, Kapaa, HI, CCN 121306
• Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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.

• Avana Health LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Kapa'a, HI
  • NPI 1952045536
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kauai Hospice Inc

  • Community Based Hospice Care Agency
  • Lihue, HI
  • NPI 1407887813
  Care Compare affiliation
• Samuel Mahelona Memorial Hospital

  • Critical Access Hospital
  • Kapa'a, HI
  • NPI 1619038536
  Care Compare affiliation
• Stay at Home Healthcare Services, LLC

  • Home Health Agency
  • Lihue, HI
  • NPI 1144568452
  Care Compare affiliation
• Stay at Home Healthcare Services, LLC

  • Home Health Agency
  • Hilo, HI
  • NPI 1447901657
  Care Compare affiliation
• Wilcox Memorial Hospital

  • Rural Acute Care Hospital
  • Lihue, HI
  • NPI 1225113442
  Care Compare affiliation

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1245767318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510083",
            "city": "KEALIA",
            "state": "HI",
            "postal_code": "967510083",
            "telephone_number": "808-431-5322",
            "fax_number": "808-427-6093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 LAIPO RD",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967462118",
            "telephone_number": "808-431-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANNAN",
        "first_name": "ASHOK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "HI",
            "license": "DOS-2077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Eugene Jimenez
• Barbara Johnson, LCSW
• Jolyn a Rose, L.Ac, LLC
• David S Jordan
• Kaitlyn Issler (Wailua Wellness)
• Kapaa Pediatrics LLC
• Kapaa Physical Therapy Inc
• Kauai Family Dentistry, Inc.
• Kauai Health & Healing Partners LLC
• Kauai Holistic Medicine Inc.

• Geriatric Medicine (Internal Medicine) Physician in Kapa'a, HI
• Providers in Kapa'a, HI by specialty
• Geriatric Medicine (Internal Medicine) Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.