Prakash Muttanna Kabbur

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

14558 Issued in HI

Practice address

1319 Punahou St
Neonatology
Honolulu, HI 96826-1001

Phone

(808) 363-0051

Fax

(808) 983-6392

NPI assigned

Nov 28, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pkabbur1331242@ahs.direct-ci.com

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.

• Lone Star Neonatology at North Texas, PLLC

  • Pediatric Critical Care Medicine Physician
  • Fort Worth, TX
  • NPI 1740088723
  Medicare reassignment NPD
• Christus Spohn Health System Corporation

  dba CHRISTUS Spohn Hospital Corpus Christi

  • General Acute Care Hospital
  • Corpus Christi, TX
  • NPI 1689641680
  NPD (past)
• Columbia Medical Center of Arlington Subsidiary LP

  dba Medical City Arlington

  • General Acute Care Hospital
  • Arlington, TX
  • NPI 1134172406
  NPD (past)
• Columbia Medical Center of Las Colinas Inc

  dba Medical City Las Colinas

  • General Acute Care Hospital
  • Irving, TX
  • NPI 1902857766
  NPD (past)
• Columbia Medical Center of Lewisville Subsidiary LP

  dba Medical City Lewisville

  • General Acute Care Hospital
  • Lewisville, TX
  • NPI 1255384533
  NPD (past)
• Columbia Medical Center of McKinney Subsidiary LP

  dba Medical City McKinney

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1437102639
  NPD (past)
• Columbia Medical Center of Plano Subsidiary LP

  dba Medical City Plano

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  NPD (past)
• North Texas - Mca LLC

  dba Medical City Alliance

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1871911016
  NPD (past)

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1558543868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 PAHOA AVE",
            "address_2": "3D",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165044",
            "telephone_number": "808-291-3162",
            "fax_number": "808-983-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST",
            "address_2": "NEONATOLOGY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261001",
            "telephone_number": "808-363-0051",
            "fax_number": "808-983-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABBUR",
        "first_name": "PRAKASH",
        "middle_name": "MUTTANNA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-28",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "HI",
            "license": "14558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaui Kai Kaaihue, RN
• Kenneth T Kaan, MD
• Dominic K. Kaanaana, PT
• Samantha Kaaua, LMFT
• Lupe Kaawaloa
• Stephanie Renee Kabler, PTA
• Russell Kackley, MD
• Barbora Kadecka, MD
• Jane K Kadohiro, APRN, CDE,
• Blake Kadomoto, MD

• Neonatal-Perinatal Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Neonatal-Perinatal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.