Active NPI
Kieran Melody, M.D.
- Surgery Physician
- Wailuku, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD-26080
- Practice address
- 80 Mahalani St
Wailuku, HI 96793-2531 - Phone
- (833) 833-3333
- NPI assigned
- Jan 14, 2011
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD-26080 | HI | Primary |
Addresses
Primary practice location
80 Mahalani St
Wailuku, HI 96793-2531
Mailing address
148 Ka Ikena Loop
Wailuku, HI 96793-4171
Phone (833) 833-3333
Other practice location 1
221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 244-9056
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of California, Davis School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3610 Ensign Rd NE
Olympia, WA 98506-5025
Phone (360) 493-5252
Hospital & facility affiliations
- Providence St Peter Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60942255 | WA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Surgical Associates PLLC | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Public Hospital District No 2 Skagit County Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Past | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Past | Accepting new patients |
Locations
1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181
1213 24th St
Ste 700
Anacortes, WA 98221
Phone (360) 293-5142
3610 Ensign Rd NE
Olympia, WA 98506
Phone (360) 493-5252
413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480
Interoperability endpoints
- kieran.melody.1@9971.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Vascular Surgery Physician
- Olympia, WA
- NPI 1447445424
-
- Rural Health Clinic/Center
- Lopez, WA
- NPI 1740203967
-
- Rural Health Clinic/Center
- Eastsound, WA
- NPI 1245827781
-
- Clinic/Center
- Anacortes, WA
- NPI 1356591077
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1386949709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 KA IKENA LOOP",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967934171",
"telephone_number": "833-833-3333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932531",
"telephone_number": "833-833-3333"
}
],
"practiceLocations": [
{
"address_1": "221 Mahalani St",
"address_purpose": "LOCATION",
"city": "Wailuku",
"state": "HI",
"postal_code": "967932526",
"country_code": "US",
"telephone_number": "808-244-9056",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELODY",
"first_name": "KIERAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-14",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "HI",
"license": "MD-26080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.