Active NPI
Craig Kadooka, M.D.
- Internal Medicine Physician
- Hilo, HI
National Provider Identifier
1467419630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD4066
- Practice address
- 670 Ponahawai St
Suite 206
Hilo, HI 96720-2660 - Phone
- (808) 935-6635
- Fax
- (808) 933-3055
- NPI assigned
- Apr 29, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD4066 | HI | Primary |
Addresses
Primary practice location
670 Ponahawai St
Suite 206
Hilo, HI 96720-2660
Mailing address
670 Ponahawai St
Suite 206
Hilo, HI 96720-2660
Phone (808) 935-6635
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD4066 | Other | HI | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4066 | HI | MD | Clinical Social Worker |
| MD4066 | HI | MD | Internal Medicine Physician |
Interoperability endpoints
- craig.kadooka@hawaiihie.medicity.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1467419630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST",
"address_2": "SUITE 206",
"city": "HILO",
"state": "HI",
"postal_code": "967202660",
"telephone_number": "808-935-6635",
"fax_number": "808-933-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "670 PONAHAWAI ST",
"address_2": "SUITE 206",
"city": "HILO",
"state": "HI",
"postal_code": "967202660",
"telephone_number": "808-935-6635",
"fax_number": "808-933-3055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADOOKA",
"first_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-29",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD4066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD4066",
"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 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.