Individual provider Active NPI

Barbora Kadecka, MD

  • Pediatrics Physician
  • Honolulu, HI
National Provider Identifier
1598382772
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7999 Issued in HI
Practice address
1319 Punahou Street #741
Pediatric Residency Program
Honolulu, HI 96826
Phone
(781) 296-7641
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7999 HI Primary

Addresses

Primary practice location

1319 Punahou Street #741
Pediatric Residency Program
Honolulu, HI 96826

Mailing address

1319 Punahou Street #741
Honolulu, HI 96826

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
I20230921001434 HI Practitioner - Pediatric Medicine 6901250182 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7999HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Hawaii Community Hospital, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Sep 1, 2023 Accepting new patients
Queens North Hawaii Community Hospital Past Accepting new patients

Locations

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Organizations & group practices 3

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1598382772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU STREET #741",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU STREET #741",
            "address_2": "PEDIATRIC RESIDENCY PROGRAM",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96826",
            "telephone_number": "781-296-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADECKA",
        "first_name": "BARBORA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "7999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.