Individual provider Active NPI

Kenneth B Kepler, M.D.

  • Internal Medicine Physician
  • Kihei, HI
National Provider Identifier
1649360033
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD12731 Issued in HI
Practice address
221 Piikea Ave # a
Kihei, HI 96753-8268
Phone
(808) 270-0491
Fax
(808) 874-6887
NPI assigned
Oct 13, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 MD12731 HI Primary

Addresses

Primary practice location

221 Piikea Ave # a
Kihei, HI 96753-8268

Mailing address

221 Piikea Ave # a
Kihei, HI 96753-8268
Phone (808) 874-8100

Other identifiers 1

IdentifierTypeStateIssuer
55722505MedicaidHI

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
I20040915001010 HI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7618944919 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
University of Hawaii John a. Burns School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kihei-Wailea Medical Center. LLCGroup PAC ID 9739070459, 9 clinicians

Practice addresses (Care Compare)

221 Piikea Ave
Suite a
Kihei, HI 96753-8268
Phone (808) 874-8100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12731HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kihei-Wailea Medical Center. LLC CurrentSince Jul 1, 2005 Accepting new patients

Locations

221 Piikea Ave
#A
Wailea, HI 96753
Phone (808) 244-6266

Interoperability endpoints

  • Direct secure messaging: kenneth.kepler@22487299391492.direct.elationemr.com

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 2

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1649360033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PIIKEA AVE # A",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538268",
            "telephone_number": "808-874-8100",
            "fax_number": "808-874-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PIIKEA AVE # A",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538268",
            "telephone_number": "808-270-0491",
            "fax_number": "808-874-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPLER",
        "first_name": "KENNETH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD12731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55722505",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.