Individual provider Active NPI

Kenneth KH Kau, MD

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1528048360
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD82613 Issued in HI
Practice address
2756 Woodlawn Dr
Suite 6-202
Honolulu, HI 96822-1856
Phone
(808) 988-0819
Fax
(808) 988-1806
NPI assigned
Jan 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD82613 HI Primary

Addresses

Primary practice location

2756 Woodlawn Dr
Suite 6-202
Honolulu, HI 96822-1856

Mailing address

2756 Woodlawn Dr
Suite 6-202
Honolulu, HI 96822-1856
Phone (808) 988-0819

Other identifiers 2

IdentifierTypeStateIssuer
05762801MedicaidHI
C07113BOtherHIHMSA

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
I20051128000067 HI Practitioner - Internal Medicine 8426078148 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Loyola University of Chicago, Stritch School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2756 Woodlawn Dr
Honolulu, HI 96822-1856
Phone (808) 988-0819

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD82613HIMDFamily Medicine Physician

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": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1528048360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 WOODLAWN DR",
            "address_2": "SUITE 6-202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221856",
            "telephone_number": "808-988-0819",
            "fax_number": "808-988-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 WOODLAWN DR",
            "address_2": "SUITE 6-202",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221856",
            "telephone_number": "808-988-0819",
            "fax_number": "808-988-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAU",
        "first_name": "KENNETH",
        "middle_name": "KH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD82613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05762801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "C07113B",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.