Kellen Kenji Kawika Kashiwa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD744 Issued in HI

Practice address

1620 Ala Moana Blvd
Suite 500
Honolulu, HI 96815-1437

Phone

(808) 955-0255

Fax

(808) 955-4155

NPI assigned

Oct 7, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pacific University - College of Optometry, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Retina Institute of Hawaii LLCGroup PAC ID 1254360647, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90 of 100Reported as group

Quality

80

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

57.5 of 100Reported as individual

Quality

15

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Retina Institute of Hawaii LLC

  • Ophthalmology Physician
  • Kailua Kona, HI
  • NPI 1801859871

  Optometrist

  Medicare reassignment Care Compare group NPD
• Hale Maka Ike LLC

  • Optometrist
  • Honolulu, HI
  • NPI 1487928750
  Medicare reassignment NPD
• Retina Institute of Hawaii LLC

  • Ophthalmology Physician
  • Lihue, HI
  • NPI 1134000391

  Optometrist

  NPD
• Center for Sight - West Oahu LLC

  • Ophthalmology Physician
  • Honolulu, HI
  • NPI 1821344326
  NPD (past)

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1508191685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1300",
            "address_2": "MAILCODE 61323",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968071300",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 ALA MOANA BLVD",
            "address_2": "SUITE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151437",
            "telephone_number": "808-955-0255",
            "fax_number": "808-955-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASHIWA",
        "first_name": "KELLEN",
        "middle_name": "KENJI KAWIKA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "HI",
            "license": "OD744",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689127",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Karsters
• Miki Karukaya, LCSW, CSAC, QCSW
• Sahiti Karumuri
• Kasha Kim Psychological Services LLC
• Nina Kashanian, AU.D.
• Barbara Mau Kashiwabara, PHARM.D., RPH
• Ronald Kashiwada, DDS
• Kayoko Miyama Kashiwatani, R.D.
• Christopher Kevin Kasprick, D.C.
• Shelley Dawn Kasprick, D.C.

• Optometrist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.

Verify at the official NPI Registry.