Individual provider Active NPI

Donald K Nikaitani, MD

  • Internal Medicine Physician
  • Kailua-Kona, HI
National Provider Identifier
1700811718
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-3709 Issued in HI
Practice address
75-137 Hualalai Road
Kona-Kohala Health Care Services Inc.
Kailua-Kona, HI 96740
Phone
(808) 329-1346
Fax
(808) 329-1468
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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 MD-3709 HI Primary

Addresses

Primary practice location

75-137 Hualalai Road
Kona-Kohala Health Care Services Inc.
Kailua-Kona, HI 96740

Mailing address

75-137 Hualalai Road
Kona-Kohala Health Care Services Inc.
Kailua-Kona, HI 96740
Phone (808) 329-1346

Other identifiers 1

IdentifierTypeStateIssuer
04737601MedicaidHI

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
I20110103000124 HI Practitioner - Internal Medicine 7618165911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Washington School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kona Kohala Health Care Services IncGroup PAC ID 7214910991, 2 clinicians

Practice addresses (Care Compare)

75 -137 Hualalai Rd
Kailua Kona, HI 96740-1703
Phone (808) 329-1340

Hospital & facility affiliations

  • Kona Community Hospital Hospital, Kealakekua, HI, CCN 120019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kona Kohala Health Care Services Inc Internal Medicine CurrentSince May 1, 1987 Accepting new patients

Locations

75-137 Hualalai Rd
Kailua Kona, HI 96740
Phone (808) 329-1340

Interoperability endpoints

  • Direct secure messaging: donald.nikaitani@23668462583812.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 and National Provider Directory roles.

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287532800000",
    "number": "1700811718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-137 HUALALAI ROAD",
            "address_2": "KONA-KOHALA HEALTH CARE SERVICES INC.",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-329-1346",
            "fax_number": "808-329-1468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-137 HUALALAI ROAD",
            "address_2": "KONA-KOHALA HEALTH CARE SERVICES INC.",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-329-1346",
            "fax_number": "808-329-1468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKAITANI",
        "first_name": "DONALD",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2010-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD-3709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04737601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua-Kona, HI

Sources for this page

Verify at the official NPI Registry.