Individual provider Active NPI

Keith Ken Abe, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Honolulu, HI
National Provider Identifier
1609990290
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
MD-12767 Issued in HI
Practice address
1319 Punahou St Ste 999
Honolulu, HI 96826-1077
Phone
(808) 947-1402
NPI assigned
Mar 19, 2007
Last updated
Feb 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A86333 CA
Pediatrics Physician 208000000X MD-12767 HI
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A86333 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X MD-12767 HI Primary

Addresses

Primary practice location

1319 Punahou St Ste 999
Honolulu, HI 96826-1077

Mailing address

1319 Punahou St Ste 999
Honolulu, HI 96826-1077
Phone (808) 947-1402

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kabe641@direct.hawaiipacifichealth.org

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
I20070628000072 HI Practitioner - NeurologyPractitioner - Pediatric Medicine 9032218243 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A86333CAMDPediatrics Physician
MD-12767HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kapiolani Medical Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1609990290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 999",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261077",
            "telephone_number": "808-947-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 PUNAHOU ST STE 999",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261077",
            "telephone_number": "808-947-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABE",
        "first_name": "KEITH",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A86333",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD-12767",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A86333",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "HI",
            "license": "MD-12767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kabe641@direct.hawaiipacifichealth.org",
            "affiliation": "N",
            "address_1": "1319 Punahou St Ste 999",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968261077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.