NPIMap

Organization Active NPI

Kevin K Kato, M.D., Inc.

  • Primary Care Clinic/Center
  • Kahului, HI
National Provider Identifier
1336319532
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
KEVIN K KATO, M.D., INC.
Practice address
169 Maa St
Suite B
Kahului, HI 96732-3603
Phone
(808) 877-2020
Fax
(808) 877-6060
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Kevin K Kato, M.D.NPI 1649238114
Title
President
Phone
(808) 877-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

169 Maa St
Suite B
Kahului, HI 96732-3603

Mailing address

169 Maa St
Suite B
Kahului, HI 96732-3603
Phone (808) 877-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423001212 HI Part B Supplier - Clinic/Group Practice 0042206054 Receives reassigned benefits from 3 practitioners
Practice locations: Kahului, HI

National Provider Directory

National Provider Directory

Locations

53 S Puunene Ave
#125
Kahului, HI 96732
Phone (808) 877-2020

169 Maa St
#B
Kahului, HI 96732
Phone (808) 877-2020

169 Maa St
Ste B
Kahului, HI 96732
Phone (808) 877-2020

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIAEAD

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1336319532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MAA ST",
            "address_2": "SUITE B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323603",
            "telephone_number": "808-877-2020",
            "fax_number": "808-877-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MAA ST",
            "address_2": "SUITE B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323603",
            "telephone_number": "808-877-2020",
            "fax_number": "808-877-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN K KATO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "KATO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-877-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.