Ke Ola Mamo

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KE OLA MAMO

Practice address

321 N Kuakini St Ste 308
Honolulu, HI 96817-2360

Phone

(808) 440-6852

Fax

(808) 440-6878

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Shami Rafanan

Title

Medical Biller

Phone

(808) 440-6852

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Tax ID family

Ke Ola Mamo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ke Ola Mamo

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1568655686
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Mahealani Lum, DO

  • Geriatric Medicine (Family Medicine) Physician
  • Honolulu, HI
  • NPI 1841601937
  Medicare reassignment Care Compare group NPD
• Garla Kuuipoaloha Souza-Roy, APRN RX-FNP

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1437660750
  Medicare reassignment Care Compare group NPD
• Sophia T. a. Tran, M.D.

  • Infectious Disease Physician
  • Tripler Army Medical Center, HI
  • NPI 1417979642

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Miriam M Chang, MD

  • Family Medicine Physician
  • Kaneohe, HI
  • NPI 1689768921
  NPD
• Kristie W Yeung, MS, RD, LD

  • Registered Dietitian
  • Honolulu, HI
  • NPI 1376200063
  NPD
• Lisa A Ching, MD

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1861435901
  NPD (past)
• Terilyn Y. Keliinoi, LCSW

  • Clinical Social Worker
  • Honolulu, HI
  • NPI 1205086626
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1700979531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 IWILEI RD STE 500",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175389",
            "telephone_number": "808-440-6852",
            "fax_number": "808-440-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172360",
            "telephone_number": "808-440-6852",
            "fax_number": "808-440-6878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Iwilei Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968175389",
            "country_code": "US",
            "telephone_number": "808-848-8000",
            "fax_number": "808-848-8001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KE OLA MAMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "RAFANAN",
        "authorized_official_first_name": "SHAMI",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "808-440-6852"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Mitsuo Kazama, MD
• Kazue Tsukikawa MD LLC
• KCT LLC
• Ke Kai Health LLC
• Ke Ola Mamo
• Ke'Ale Chiropractic LLC
• Ke'Ena Mauliola Nele Paia LLC
• Taimane L Keahi
• Breena Bubbles Keahiolalo-Cravalho
• Kelli Keahiolalo-Hanashiro, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.