Individual provider Active NPI

Christian Yukie Kitamura, M.D.

  • Internal Medicine Physician
  • Aiea, HI
National Provider Identifier
1265875231
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD 18633 Issued in HI
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

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161007001716 HI Practitioner - Internal Medicine 9638467517 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 18633HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Feb 25, 2019 Accepting new patients
Straub Clinic & Hospital CurrentSince Feb 25, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.