Kapono Chang, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DOSR-502 Issued in HI

Practice address

98-1005 Moanalua Rd SPC 3030
Aiea, HI 96701-4735

Phone

(808) 627-3200

Fax

(808) 623-7872

NPI assigned

May 28, 2020

Last updated

May 28, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kokua Kalihi Valley Comprehensive Family ServicesGroup PAC ID 0547258741, 22 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Kokua Kalihi Valley Comprehensive Family Services

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1114074622
  Medicare reassignment Care Compare group
• Kapiolani Medical Specialists

  dba Hawaii Pacific Health Medical Group

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
  • NPI 1124071014
  NPD
• Kokua Kalihi Valley Comprehensive Family Services

  • Health Service Clinic/Center
  • Honolulu, HI
  • NPI 1558583856
  NPD
• Kokua Kalihi Valley Comprehensive Family Services

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1952994238
  NPD
• University Clinical Education & Research Associates

  dba University Health Partners of Hawaii

  • Clinical Medical Laboratory
  • Honolulu, HI
  • NPI 1659971489
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1590624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1881217586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014777",
            "telephone_number": "808-627-3200",
            "fax_number": "808-623-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1005 MOANALUA RD SPC 3030",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014735",
            "telephone_number": "808-627-3200",
            "fax_number": "808-623-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANG",
        "first_name": "KAPONO",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-28",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOSR-502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra M. Chandler, FNP
• Alan L Chang, MD
• Benjamin C Chang, M.D.
• Cindy M Chang, L.A,C., LMT
• Dylan Chang
• Southedath Chansavat
• Noelle Chapman
• Shayna Chavarria, PSYD
• Bianca Chavez
• Galen York Chee, D.M.D.

• Family Medicine Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.