Individual provider Active NPI

Christopher Kaiana Kwock, M.D.

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1619103553
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-16489 Issued in HI
Practice address
3310 Pawaina St
Honolulu, HI 96822-1348
Phone
(808) 927-1475
NPI assigned
Jun 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MDR-5671 HI
Internal Medicine Physician 207R00000X MD-16489 HI Primary

Addresses

Primary practice location

3310 Pawaina St
Honolulu, HI 96822-1348

Mailing address

3310 Pawaina St
Honolulu, HI 96822-1348
Phone (808) 927-1475

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120703000150 HI Practitioner - Internal Medicine 2567627276
I20140721000407 OR Practitioner - Internal Medicine 2567627276 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-16489HIMDInternal Medicine Physician
MDR-5671HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Malama Ola Health Services LLC CurrentSince Mar 1, 2022 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Jul 14, 2014 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Jun 1, 2014 Accepting new patients
Silverton Health CurrentSince Mar 20, 2020 Accepting new patients
Malama Ola Health Services LLC CurrentSince Sep 20, 2020 Accepting new patients
Silverton Health CurrentSince Mar 20, 2020 Accepting new patients
Silverton Health Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 1, 2014 Accepting new patients
Christopher Kwock MD LLC Internal Medicine PastSince Jul 1, 2012 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Malama Ola Health Services LLCHonolulu, HI, CCN 121511 Hospice Contracted Managing Employee Mar 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1244160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1619103553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 PAWAINA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221348",
            "telephone_number": "808-927-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 PAWAINA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221348",
            "telephone_number": "808-927-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWOCK",
        "first_name": "CHRISTOPHER",
        "middle_name": "KAIANA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-05",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MDR-5671",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-16489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.