Individual provider Active NPI

Kaitlynn Miyoshi Ebisutani, MD

  • Obstetrics & Gynecology Physician
  • Aiea, HI
National Provider Identifier
1356965347
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD-24152 Issued in HI
Practice address
98-1005 Moanalua Rd SPC 3010
Aiea, HI 96701-4735
Phone
(808) 671-0090
Fax
(908) 671-5376
NPI assigned
Jun 4, 2020
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD-24152 HI Primary

Addresses

Primary practice location

98-1005 Moanalua Rd SPC 3010
Aiea, HI 96701-4735

Mailing address

1319 Punahou St # 824
Honolulu, HI 96826-1080

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
I20240925001762 HI Practitioner - Obstetrics/Gynecology 3577004910 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Hawaii John a. Burns School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kapiolani Medical SpecialistsGroup PAC ID 0648183988, 103 clinicians
Kalihi Palama Health CenterGroup PAC ID 4284544842, 28 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

915 N King St
Honolulu, HI 96817-4544
Phone (808) 848-1438

98 -1079 Moanalua Rd
Aiea, HI 96701-4713
Phone (808) 486-6000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Sep 16, 2024 Accepting new patients
Kapiolani Medical Specialists CurrentSince Sep 16, 2024 Accepting new patients
Kalihi Palama Health Center CurrentSince Oct 9, 2025 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Obstetrics & Gynecology Current Accepting new patients
Pali Momi Medical Center CurrentSince Sep 16, 2024 Accepting new patients
Kauai Medical Clinic CurrentSince Mar 31, 2025 Accepting new patients
Kalihi Palama Health Center Current Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Sep 16, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Sep 16, 2024 Accepting new patients
Kapiolani Medical Center for Women & Children CurrentSince Sep 16, 2024 Accepting new patients
Pali Momi Medical Center CurrentSince Sep 16, 2024 Accepting new patients
Kauai Medical Clinic CurrentSince Mar 31, 2025 Accepting new patients
Kalihi Palama Health Center CurrentSince Oct 9, 2025 Accepting new patients
The Wahiawa Center for Community Health CurrentSince Sep 15, 2024 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
Kapiolani Medical Center Past Accepting new patients

Locations

98-1005 Moanalua Rd
Spc 3010
Aiea, HI 96701
Phone (808) 671-0090

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1319 Punahou St
Ste 801
Honolulu, HI 96826
Phone (808) 203-6580

1319 Punahou St
Ste 824
Honolulu, HI 96826
Phone (808) 203-6500

915 N King St
Honolulu, HI 96817
Phone (808) 848-1438

599 Farrington Hwy
Bldg 1
Kapolei, HI 96707

3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500

130 California Ave
Ste 106
Wahiawa, HI 96786
Phone (808) 622-1618

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

Interoperability endpoints

  • Direct secure messaging: kaitlynn.ebisutani.1@15549.direct.athenahealth.com
  • Direct secure messaging: kaitlynn.ebisutani.1@28780.direct.athenahealth.com
  • Direct secure messaging: kaitlynn.ebisutani.p1@direct.wcchc.nextgenshare.com
  • Direct secure messaging: kebisutani26138@hhsc.direct-ci.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1356965347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST # 824",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 3010",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014735",
            "telephone_number": "808-671-0090",
            "fax_number": "908-671-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBISUTANI",
        "first_name": "KAITLYNN",
        "middle_name": "MIYOSHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "MD-24152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.