Active NPI
Kara Mitsuyo Okahara, M.D.
- Family Medicine Physician
- Hilo, HI
National Provider Identifier
1417091893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10628
- Practice address
- 670 Ponahawai St
Suite 208
Hilo, HI 96720-2660 - Phone
- (808) 935-2112
- Fax
- (808) 935-2110
- NPI assigned
- Feb 18, 2007
- Last updated
- Nov 16, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 10628 | HI | Primary |
Addresses
Primary practice location
670 Ponahawai St
Suite 208
Hilo, HI 96720-2660
Mailing address
670 Ponahawai St
Suite 208
Hilo, HI 96720-2660
Phone (808) 935-2112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251591-05 | Medicaid | HI |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanai Medical Inc | Family Medicine | Current | Accepting new patients |
| Okahara & Olsen M.D.,Inc. | Family Medicine | Current | Accepting new patients |
Locations
670 Ponahawai St
Ste 208
Hilo, HI 96720
Phone (808) 935-2112
Interoperability endpoints
- kara.okahara@hawaiihie.medicity.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Hilo, HI
- NPI 1942409040
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1417091893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST",
"address_2": "SUITE 208",
"city": "HILO",
"state": "HI",
"postal_code": "967202660",
"telephone_number": "808-935-2112",
"fax_number": "808-935-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST",
"address_2": "SUITE 208",
"city": "HILO",
"state": "HI",
"postal_code": "967202660",
"telephone_number": "808-935-2112",
"fax_number": "808-935-2110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAHARA",
"first_name": "KARA",
"middle_name": "MITSUYO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-18",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "HI",
"license": "10628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251591-05",
"state": "HI"
}
],
"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 Nov 16, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.