Individual provider Active NPI

Kimberly Kay Lund, D.O.

  • Family Medicine Physician
  • Kailua, HI
National Provider Identifier
1831315951
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DOS-856 Issued in HI
Practice address
970 N Kalaheo Ave
Suite C306
Kailua, HI 96734-1866
Phone
(808) 263-7383
Fax
(808) 237-5828
NPI assigned
Apr 17, 2007
Last updated
Aug 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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 DOS-856 HI Primary

Addresses

Primary practice location

970 N Kalaheo Ave
Suite C306
Kailua, HI 96734-1866

Mailing address

207 Lanipo Dr
Kailua, HI 96734-3231
Phone (808) 263-1922

Other identifiers 3

IdentifierTypeStateIssuer
0000254441OtherHIHMSA
CH315AOtherHIMEDICARE PTAN
56992301MedicaidHI

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
I20050917000096 HI Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 1456384627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trade Winds Family Medicine LLCGroup PAC ID 2860539269, 5 clinicians

Practice addresses (Care Compare)

970 N Kalaheo Ave
Suite C306
Kailua, HI 96734-1873
Phone (808) 263-7383

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trade Winds Family Medicine, LLC Family Medicine CurrentSince Aug 15, 2009 Accepting new patients

Locations

970 N Kalaheo Ave
Ste C306
Kailua, HI 96734
Phone (808) 263-7383

8513 NE Hazel Dell Ave
Ste 102
Vancouver, WA 98665
Phone (800) 594-8043

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGDDBA

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 4

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1831315951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LANIPO DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343231",
            "telephone_number": "808-263-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE",
            "address_2": "SUITE C306",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341866",
            "telephone_number": "808-263-7383",
            "fax_number": "808-237-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUND",
        "first_name": "KIMBERLY",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS-856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000254441",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "CH315A",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56992301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.