Individual provider Active NPI

Nanea Juliet Luuwai Cavaco, MD

  • Pediatrics Physician
  • Honolulu, HI
National Provider Identifier
1427794205
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MDR-8305 Issued in HI
Practice address
1319 Punahou St # 741
Honolulu, HI 96826-1080
Phone
(808) 281-9847
NPI assigned
May 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MDR-8305 HI Primary

Addresses

Primary practice location

1319 Punahou St # 741
Honolulu, HI 96826-1080

Mailing address

1319 Punahou St # 741
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
I20250630001317 HI Practitioner - Pediatric Medicine 5890208284 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-8305HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Physician Enterprise LLC CurrentSince Aug 1, 2025 Accepting new patients
Queens University Medical Group Past Accepting new patients

Locations

91-6390 Kapolei Pkwy
Ste 200
Ewa Beach, HI 96706
Phone (612) 802-2986

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1427794205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST # 741",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST # 741",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261080",
            "telephone_number": "808-281-9847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVACO",
        "first_name": "NANEA",
        "middle_name": "JULIET LUUWAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MDR-8305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.