Individual provider Active NPI

Gary Kimoto, M.D.

  • Obstetrics & Gynecology Physician
  • Honolulu, HI
National Provider Identifier
1598863839
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3800 Issued in HI
Practice address
1319 Punahou St Ste 801
Honolulu, HI 96826-1032
Phone
(808) 203-6580
Fax
(808) 951-1637
NPI assigned
Sep 20, 2006
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 3800 HI Primary

Addresses

Primary practice location

1319 Punahou St Ste 801
Honolulu, HI 96826-1032

Mailing address

PO Box 25668
Honolulu, HI 96825-0668
Phone (808) 536-0314

Other identifiers 1

IdentifierTypeStateIssuer
04793702MedicaidHI

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
I20050407000120 HI Practitioner - Obstetrics/Gynecology 7113974544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Hawaii John a. Burns School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kapiolani Medical SpecialistsGroup PAC ID 0648183988, 103 clinicians

Practice addresses (Care Compare)

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
74.46
Promoting interoperability
97
Improvement activities
40
Cost
73.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3800HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Specialists CurrentSince Nov 1, 2021 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 27, 2022 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 27, 2022 Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

1319 Punahou St
Ste 801
Honolulu, HI 96826
Phone (808) 203-6580

7192 Kalanianaole Hwy
Ste A200
Honolulu, HI 96825
Phone (808) 396-6321

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1598863839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25668",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250668",
            "telephone_number": "808-536-0314",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 801",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261032",
            "telephone_number": "808-203-6580",
            "fax_number": "808-951-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMOTO",
        "first_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "HI",
            "license": "3800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04793702",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.