Active NPI
Kevin K Adams, MD
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1275640567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD11099
- Practice address
- 377 Keahole St
Honolulu, HI 96825-3405 - Phone
- (808) 396-6675
- Fax
- (808) 395-2104
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- 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 | MD11099 | HI | Primary |
Addresses
Primary practice location
377 Keahole St
Honolulu, HI 96825-3405
Mailing address
1099 Alakea St
Suite 1100
Honolulu, HI 96813-4511
Phone (808) 547-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50083601 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dartmouth-Hitchcock Clinic | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Manchester, NH
- NPI 1386697803
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248998400000",
"number": "1275640567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1099 ALAKEA ST",
"address_2": "SUITE 1100",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134511",
"telephone_number": "808-547-4600",
"fax_number": "808-547-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 KEAHOLE ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968253405",
"telephone_number": "808-396-6675",
"fax_number": "808-395-2104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "KEVIN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2009-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD11099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "50083601",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.