Individual provider Active NPI

Cherisse Lohelani Sen Kawamura, MD

  • Family Medicine Physician
  • Waianae, HI
National Provider Identifier
1689242687
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MDR-8119 Issued in HI
Practice address
89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160
Phone
(808) 697-3900
NPI assigned
Jun 15, 2021
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MDR-8119 HI Primary

Addresses

Primary practice location

89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160

Mailing address

1529 Ala Amoamo St
Honolulu, HI 96819-1710

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
I20241107001101 HI Practitioner - Family Practice 7810421286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

86-260 Farringtion Hwy
Waianae, HI 96792-3128
Phone (808) 697-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-8119HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Oct 21, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Inc Family Medicine Current Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated CurrentSince Oct 21, 2024 Accepting new patients
Waianae District Comprehensive Health and Hospital Board, Incorporated Past Accepting new patients

Locations

86-260 Farrington Hwy
Waianae, HI 96792
Phone (808) 696-7081

87-2070 Farrington Hwy
Ste N
Waianae, HI 96792

89-102 Farrington Hwy
Unit 3000
Waianae, HI 96792
Phone (808) 697-3900

Interoperability endpoints

  • Direct secure messaging: cherisse.kawamura.p1@direct.wcchc.nextgenshare.com

Organizations & group practices 4

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 3

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1689242687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 ALA AMOAMO ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-102 FARRINGTON HWY UNIT 3000",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967924160",
            "telephone_number": "808-697-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAMURA",
        "first_name": "CHERISSE",
        "middle_name": "LOHELANI SEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MDR-8119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.