Individual provider Active NPI

Tim Taikyo Kaneda, PA-C, M.H.S.

  • Medical Physician Assistant
  • Hilo, HI
National Provider Identifier
1972854099
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
AMD 480 Issued in HI
Practice address
1178 Kinoole St Ste B
Hilo, HI 96720-7206
Phone
(808) 326-5629
NPI assigned
Sep 28, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X AMD 480 HI Primary

Addresses

Primary practice location

1178 Kinoole St Ste B
Hilo, HI 96720-7206

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 326-5629

Other names 1

  • Taikyo Kaneda Other name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130606000650 HI Practitioner - Physician Assistant 6901044791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Duke University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Hawaii Community Health Center IncGroup PAC ID 1557389400, 63 clinicians
Bay Clinic IncGroup PAC ID 5890699037, 28 clinicians

Practice addresses (Care Compare)

1178 Kinoole St
Hilo, HI 96720-7206
Phone (808) 333-3600

75-5751 Kuakini Hwy
Suite 101a
Kailua Kona, HI 96740-1705
Phone (808) 326-5629

Hospital & facility affiliations

  • Kau Hospital Hospital, Pahala, HI, CCN 121301
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AMD 480HIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kau Hospital CurrentSince Feb 1, 2021 Accepting new patients
Kau Hospital CurrentSince Feb 1, 2021 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Jul 8, 2024 Accepting new patients
West Hawaii Community Health Center, Inc. CurrentSince Jul 8, 2024 Accepting new patients

Locations

450 Kilauea Ave
Ste 105
Hilo, HI 96720
Phone (808) 961-4071

1178 Kinoole St
Ste B
Hilo, HI 96720
Phone (808) 934-3214

75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740

75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740
Phone (808) 326-3878

Organizations & group practices 6

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 2

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": "1348790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769644800000",
    "number": "1972854099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-326-5629",
            "fax_number": "808-329-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1178 KINOOLE ST STE B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207206",
            "telephone_number": "808-326-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEDA",
        "first_name": "TIM",
        "middle_name": "TAIKYO",
        "credential": "PA-C, M.H.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-28",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD 480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAIKYO",
            "last_name": "KANEDA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.