Kohhei Nakagawa

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD22975 Issued in HI

Practice address

2240 Kuhio Ave Apt 2114
Honolulu, HI 96815-2814

Phone

(907) 519-2053

NPI assigned

Jul 30, 2007

Last updated

Jan 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1457304966
  Medicare reassignment NPD
• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1235908831
  NPD

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1619167335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520863",
            "telephone_number": "907-412-0945",
            "fax_number": "412-802-7249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 KUHIO AVE APT 2114",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152814",
            "telephone_number": "907-519-2053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "436 5TH & TED STEVENS WAY",
            "address_purpose": "LOCATION",
            "city": "KOTZEBUE",
            "state": "AK",
            "postal_code": "997520043",
            "country_code": "US",
            "telephone_number": "907-442-3321",
            "fax_number": "907-442-7250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAKAGAWA",
        "first_name": "KOHHEI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT190003",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "6119",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD22975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS19OP",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HS19IP",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James S Nakada, COTA/L
• Sarah Chiyo Nakada, DDS
• Brian M. Nakagawa, P.T.
• Kazuma Nakagawa, MD
• Kevin Lee Nakagawa, R.PH.
• Lara Nakagawa, CCC-SLP
• Lorene Tomi Nakagawa, MA, OTR
• Lyn Nakagawa, MS, ATC, CSCS
• Marilou G Nakagawa, MAT-15629, LMT
• Shun Nakahara, M.D.

• Family Medicine Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.