Individual provider Active NPI

Wynette Y Kitajima, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Kealakekua, HI
National Provider Identifier
1528068343
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD-9824 Issued in HI
Practice address
81-990 Halekii St
Kealakekua, HI 96750-8104
Phone
(808) 322-8331
Fax
(808) 322-6443
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD-9824 HI Primary

Addresses

Primary practice location

81-990 Halekii St
Kealakekua, HI 96750-8104

Mailing address

PO Box 10
Kealakekua, HI 96750-0010
Phone (808) 322-8831

Other identifiers 1

IdentifierTypeStateIssuer
00235001MedicaidHI

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
I20060105000268 HI Practitioner - Physical Medicine and Rehabilitation 9436172459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Hawaii John a. Burns School of Medicine, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

81 -990 Halekii St
Kealakekua, HI 96750-8104
Phone (808) 322-8831

PO Box
Suite 10
Kealakekua, HI 96750

Hospital & facility affiliations

  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-9824HIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wynette Y Kitajima M.D Inc Physical Medicine & Rehabilitation CurrentSince Oct 30, 2007 Accepting new patients

Locations

848 S Beretania St
Ste 400
Honolulu, HI 96813

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1528068343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967500010",
            "telephone_number": "808-322-8831",
            "fax_number": "808-322-6443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-990 HALEKII ST",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967508104",
            "telephone_number": "808-322-8331",
            "fax_number": "808-322-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITAJIMA",
        "first_name": "WYNETTE",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "MD-9824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00235001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.