Individual provider Active NPI

Robert J. Kim, MD

  • Gynecologic Oncology Physician
  • Honolulu, HI
National Provider Identifier
1407899438
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
229683 Issued in MA
Practice address
1329 Lusitana St Ste 803
Honolulu, HI 96813-2434
Phone
(808) 526-2477
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35083049 OH
Gynecologic Oncology Physician 207VX0201X 229683 MA Primary

Addresses

Primary practice location

1329 Lusitana St Ste 803
Honolulu, HI 96813-2434

Mailing address

1319 Punahou St
Ste. 824
Honolulu, HI 96826-1001
Phone (808) 526-2477

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
I20110209000863 HI Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 4789646571 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
University of California, Davis School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2499

1329 Lusitana St
Honolulu, HI 96813-2431

1380 Lusitana St
Honolulu, HI 96813-2448

91 -2135 Fort Weaver Rd
Suite 150
Ewa Beach, HI 96706-1929
Phone (808) 691-3020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Sep 27, 2021 Accepting new patients
The Queen's Medical Center Current Accepting new patients
The Queens Medical Center CurrentSince Sep 27, 2021 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
Meridia Medical Group, LLC Past Accepting new patients

Locations

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

670 Ponahawai St
Ste 122
Hilo, HI 96720
Phone (808) 521-2712

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

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

1329 Lusitana St
Ste 202
Honolulu, HI 96813
Phone (808) 526-0884

1329 Lusitana St
Ste 803
Honolulu, HI 96813
Phone (808) 536-3777

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

1329 Lusitana St
Ste 703
Honolulu, HI 96813
Phone (808) 526-0884

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1380 Lusitana St
Ste 1004
Honolulu, HI 96813
Phone (808) 523-9400

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

239 Hoohana St
Kahului, HI 96732
Phone (808) 242-2064

75-5653 Kuakini Hwy
Ste 100
Kailua Kona, HI 96740
Phone (800) 322-2425

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

41-1347 Kalanianaole Hwy
Waimanalo, HI 96795
Phone (808) 259-5466

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.

Hospital & facility affiliations 3

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1407899438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "STE. 824",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-526-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 803",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132434",
            "telephone_number": "808-526-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35083049",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "MA",
            "license": "229683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.