Active NPI
Kevin M Stevenson, M.D.
- Diagnostic Radiology Physician
- Honolulu, HI
National Provider Identifier
1982660346
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD12846
- Practice address
- 347 N Kuakini St
Honolulu, HI 96817-2306 - Phone
- (808) 522-0190
- Fax
- (808) 523-9068
- NPI assigned
- Apr 25, 2006
- Last updated
- Oct 28, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD12846 | HI | Primary |
Addresses
Primary practice location
347 N Kuakini St
Honolulu, HI 96817-2306
Mailing address
321 N Kuakini St
Suite 405
Honolulu, HI 96817-2364
Phone (808) 522-0190
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A0246627 | Other | HI | HMSA |
| 550211-02 | Other | HI | ST DEPT OF PUB SAFETY |
| P00173080 | Other | HI | PALMETTO GBA |
| 108-2145098 | Other | HI | AETNA |
| 201243800 | Other | HI | US LABOR DEPT |
| 508528 | Other | HI | HI ELEC |
| 550211-01 | Other | HI | ST DEPT OF PUB SAFETY |
| 0055021101 | Medicaid | HI | |
| 0055021102 | Medicaid | HI | |
| 990157698 | Other | HI | AETNA, UHC, CIGNA |
| 990157698-96701-B013 | Other | HI | TRICARE |
| 7698147 | Other | HI | UHA |
| 00B0246625 | Other | HI | HMSA |
| 990157698-96817-B011 | Other | HI | TRICARE |
| 103802483 | Other | HI | US MARSHALL SVC-FED DET C |
| MD12846 | Other | HI | QUEENS HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12846 | HI | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1982660346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 N KUAKINI ST",
"address_2": "SUITE 405",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172364",
"telephone_number": "808-522-0190",
"fax_number": "808-523-9068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "347 N KUAKINI ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172306",
"telephone_number": "808-522-0190",
"fax_number": "808-523-9068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "KEVIN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-25",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "HI",
"license": "MD12846",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00A0246627",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST DEPT OF PUB SAFETY",
"identifier": "550211-02",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "P00173080",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "108-2145098",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US LABOR DEPT",
"identifier": "201243800",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HI ELEC",
"identifier": "508528",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST DEPT OF PUB SAFETY",
"identifier": "550211-01",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0055021101",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0055021102",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA, UHC, CIGNA",
"identifier": "990157698",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "990157698-96701-B013",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHA",
"identifier": "7698147",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00B0246625",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "990157698-96817-B011",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US MARSHALL SVC-FED DET C",
"identifier": "103802483",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUEENS HEALTHCARE",
"identifier": "MD12846",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}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 Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.