Active NPI
Christian Yukie Kitamura, M.D.
- Internal Medicine Physician
- Aiea, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD 18633
- Practice address
- 98-1079 Moanalua Rd Ste 500
Pearl City Medical Associates, Inc.
Aiea, HI 96701-4794 - Phone
- (808) 488-0990
- Fax
- (808) 486-4696
- NPI assigned
- Apr 9, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD 18633 | HI | Primary |
Addresses
Primary practice location
98-1079 Moanalua Rd Ste 500
Pearl City Medical Associates, Inc.
Aiea, HI 96701-4794
Mailing address
98-1079 Moanalua Rd Ste 500
Pearl City Medical Associates, Inc.
Aiea, HI 96701-4794
Phone (808) 488-0990
Other practice location 1
632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 18633 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| Inteleretina Professional Group LLC | Past | Accepting new patients |
Locations
98-1079 Moanalua Rd
Ste 500
Aiea, HI 96701
Phone (808) 488-0990
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
Interoperability endpoints
- christian.kitamura@450368864321540.direct.elationemr.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- Retina Specialist (Ophthalmology) Physician
- Honolulu, HI
- NPI 1407347602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1265875231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-1079 MOANALUA RD STE 500",
"address_2": "PEARL CITY MEDICAL ASSOCIATES, INC.",
"city": "AIEA",
"state": "HI",
"postal_code": "967014794",
"telephone_number": "808-488-0990",
"fax_number": "808-486-4696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1079 MOANALUA RD STE 500",
"address_2": "PEARL CITY MEDICAL ASSOCIATES, INC.",
"city": "AIEA",
"state": "HI",
"postal_code": "967014794",
"telephone_number": "808-488-0990",
"fax_number": "808-486-4696"
}
],
"practiceLocations": [
{
"address_1": "632 Broadway Ph",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100122614",
"country_code": "US",
"telephone_number": "800-731-4254",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITAMURA",
"first_name": "CHRISTIAN",
"middle_name": "YUKIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-09",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD 18633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.