Individual provider Active NPI

Kapaakea Charles Puaa, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Hilo, HI
National Provider Identifier
1336594704
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
45 Mohouli St
Hawaii Island Family Medicine Residency
Hilo, HI 96720
Phone
(808) 932-3186
Fax
(808) 932-4304
NPI assigned
May 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

45 Mohouli St
Hawaii Island Family Medicine Residency
Hilo, HI 96720

Mailing address

45 Mohouli St
Hawaii Island Family Medicine Residency
Hilo, HI 96720
Phone (808) 932-3186

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

OrganizationSpecialtyStatusNew patients
Randall H. Hirata M.D., Inc. CurrentSince Jul 24, 2022 Accepting new patients

Locations

82 Puuhonu Pl
Ste 209
Hilo, HI 96720
Phone (808) 796-3125

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.

NPI Registry JSON

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462320000000",
    "number": "1336594704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "address_2": "HAWAII ISLAND FAMILY MEDICINE RESIDENCY",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-932-3186",
            "fax_number": "808-932-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MOHOULI ST",
            "address_2": "HAWAII ISLAND FAMILY MEDICINE RESIDENCY",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-932-3186",
            "fax_number": "808-932-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUAA",
        "first_name": "KAPAAKEA",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.