Kaitlynn Miyoshi Ebisutani, MD
Individual provider Active NPI Obstetrics & Gynecology Physician · Aiea, HI
NPI 1356965347 · NPPES record last updated Jun 30, 2025
Key facts
- NPI
- 1356965347
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD-24152 (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
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 Specialists
Kalihi Palama Health Center
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
- Kapiolani Medical Center for Women & Children
- Pali Momi Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240925001762 | HI | Practitioner - Obstetrics/Gynecology | 3577004910 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
Locations
98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301
98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250
98-1005 Moanalua Rd
Spc 3010
Aiea, HI 96701
Phone (808) 671-0090
1319 Punahou St
Ste 801
Honolulu, HI 96826
Phone (808) 203-6580
915 N King St
Honolulu, HI 96817
Phone (808) 848-1438
1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300
1319 Punahou St
Ste 824
Honolulu, HI 96826
Phone (808) 203-6500
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
- kaitlynn.ebisutani.1@28780.direct.athenahealth.com
- kaitlynn.ebisutani.p1@direct.wcchc.nextgenshare.com
- kebisutani26138@hhsc.direct-ci.com
- kaitlynn.ebisutani.1@15549.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD-24152 | HI | Yes |
Addresses
Primary practice location
98-1005 Moanalua Rd SPC 3010
Aiea, HI 96701-4735
Mailing address
1319 Punahou St # 824
Honolulu, HI 96826-1080
Other providers in Aiea, HI
- Ear, Nose & Throat Clinics of Oahu, LLC
- Baylee Earp
- East 2 West Integrative Medicine LLC
- Shannon Chang Eaton
- Roy J Ebisu
- Corina Ann Edgington
- Eduardo K. Manapat DMD Inc.
- Charlotte Edwards
- Edwin Yoshio Endo
- Rebecca Eggers
All providers in Aiea, HI · Obstetrics & Gynecology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.