Individual provider Active NPI

Kevin K Kato, M.D.

  • Internal Medicine Physician
  • Kahului, HI
National Provider Identifier
1649238114
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
12788 Issued in HI
Practice address
169 Maa St
Suite B
Kahului, HI 96732-3603
Phone
(808) 877-2020
Fax
(808) 877-6060
NPI assigned
May 3, 2006
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 12788 HI Primary

Addresses

Primary practice location

169 Maa St
Suite B
Kahului, HI 96732-3603

Mailing address

169 Maa St
Suite B
Kahului, HI 96732-3603
Phone (808) 877-2020

Other identifiers 2

IdentifierTypeStateIssuer
549032MedicaidHI
0000245506OtherHIHMSA NUMBER

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
I20040423001234 HI Practitioner - Internal Medicine 7113913120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Hawaii John a. Burns School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kevin K Kato MD IncGroup PAC ID 0042206054, 3 clinicians

Practice addresses (Care Compare)

169 Maa St
Suite B
Kahului, HI 96732-3634
Phone (808) 877-2020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12788HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin K Kato, M.D., Inc. CurrentSince Mar 15, 2004 Accepting new patients

Locations

169 Maa St
#B
Kahului, HI 96732
Phone (808) 877-2020

169 Maa St
Ste 100
Kahului, HI 96732

169 Maa St
Ste B
Kahului, HI 96732
Phone (808) 877-2020

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIAEAD

Organizations & group practices 1

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 1

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1649238114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MAA ST",
            "address_2": "SUITE B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323603",
            "telephone_number": "808-877-2020",
            "fax_number": "808-877-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MAA ST",
            "address_2": "SUITE B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323603",
            "telephone_number": "808-877-2020",
            "fax_number": "808-877-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATO",
        "first_name": "KEVIN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "12788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549032",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA NUMBER",
            "identifier": "0000245506",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

Verify at the official NPI Registry.