Active NPI
Kelsey L Rhodes, D.O
- Pediatrics Physician
- Honolulu, HI
National Provider Identifier
1760837843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DOS1968
- Practice address
- 1319 Punahou St
#741
Honolulu, HI 96826-1001 - Phone
- (808) 369-1200
- NPI assigned
- Apr 26, 2016
- Last updated
- Aug 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DOS1968 | HI | Primary |
Addresses
Primary practice location
1319 Punahou St
#741
Honolulu, HI 96826-1001
Mailing address
1319 Punahou St
#741
Honolulu, HI 96826-1001
Other names 1
- Kelsey L Largen
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS1968 | HI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kapiolani Medical Specialists | Current | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Past | Accepting new patients | |
| Kapiolani Medical Center | Past | Accepting new patients |
Locations
1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300
1319 Punahou St
#741
Honolulu, HI 96826
Phone (808) 369-1200
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.
-
dba Hawaii Pacific Health Medical Group
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1124071014
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1548215692
-
- Children's Hospital
- Pearl City, HI
- NPI 1083810840
-
- Children's Hospital
- Honolulu, HI
- NPI 1043263080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566864000000",
"number": "1760837843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"address_2": "#741",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1319 PUNAHOU ST",
"address_2": "#741",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261001",
"telephone_number": "808-369-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "KELSEY",
"middle_name": "L",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2019-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "HI",
"license": "DOS1968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KELSEY",
"last_name": "LARGEN",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.