Individual provider Active NPI

Kathleen Kearns, M.D.

  • Family Medicine Physician
  • Wailuku, HI
National Provider Identifier
1265528673
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-21947 Issued in HI
Practice address
1881 Nani St
Wailuku, HI 96793-1811
Phone
(808) 871-7772
Fax
(808) 872-4092
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A67245 CA
Family Medicine Physician 207Q00000X MD-21947 HI Primary

Addresses

Primary practice location

1881 Nani St
Wailuku, HI 96793-1811

Mailing address

1881 Nani St
Wailuku, HI 96793-1811

Other practice location 1

30 Oki Place
Kaunakakai, HI 96748
Phone (808) 553-5038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080123000680 CA Practitioner - Family Practice 7113009671 Reassigns benefits to 1 organization
I20220330002064 HI Practitioner - Family Practice 7113009671 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Clinic of Maui IncGroup PAC ID 2466365440, 20 clinicians

Practice addresses (Care Compare)

1881 Nani St
Wailuku, HI 96793-1811
Phone (808) 871-7772

670 Waiale Rd
Apt a
Wailuku, HI 96793-2376
Phone (808) 872-4099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67245CAMDFamily Medicine Physician
MD-21947HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinic of Maui, Inc. CurrentSince Jun 20, 2022 Accepting new patients
Community Clinic of Maui, Inc. Current Accepting new patients
Community Clinic of Maui Inc CurrentSince Jun 20, 2022 Accepting new patients
County of Stanislaus CurrentSince Sep 20, 2007 Accepting new patients
County of Stanislaus Current Accepting new patients
County of Stanislaus CurrentSince Sep 20, 2007 Accepting new patients
Molokai Ohana Health Care, Inc. CurrentSince Apr 19, 2022 Accepting new patients
Molokai Ohana Health Care, Inc. PastSince Nov 16, 2021 Accepting new patients
Emergency Physicians Medical Group, Inc Past Accepting new patients

Locations

2412 3rd St
Hughson, CA 95326
Phone (209) 558-7250

1524 McHenry Ave
Ste 330
Modesto, CA 95350
Phone (209) 558-7085

401 Paradise Rd
Ste E
Modesto, CA 95351
Phone (209) 558-4000

830 Scenic Dr
Modesto, CA 95350
Phone (209) 558-7000

800 Delbon Ave
Turlock, CA 95382
Phone (209) 664-8000

1881 Nani St
Wailuku, HI 96793
Phone (808) 871-7772

Organizations & group practices 9

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1265528673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 NANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931811",
            "telephone_number": "808-871-7772",
            "fax_number": "808-872-4092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Oki Place",
            "address_purpose": "LOCATION",
            "city": "Kaunakakai",
            "state": "HI",
            "postal_code": "96748",
            "country_code": "US",
            "telephone_number": "808-553-5038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEARNS",
        "first_name": "KATHLEEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67245",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD-21947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.