Individual provider Active NPI

Chelestes Lee Kanoelehua Grace, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
National Provider Identifier
1982866539
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MDR-5454 Issued in HI
Practice address
651 Ilalo St
Meb #401a
Honolulu, HI 96813-5525
Phone
(808) 358-9796
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MDR-5454 HI Primary

Addresses

Primary practice location

651 Ilalo St
Meb #401a
Honolulu, HI 96813-5525

Mailing address

2637 Kuilei St Apt A74
Honolulu, HI 96826-3217
Phone (808) 358-9796

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
I20131111000239 HI Practitioner - Pathology 8820223316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Hawaii John a. Burns School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pan Pacific Pathologists LLCGroup PAC ID 0941190474, 19 clinicians

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 974-6898

33 Lanihuli St
Hilo, HI 96720-4142

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MDR-5454HIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pan Pacific Pathologists, LLC Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2013 Accepting new patients
Clinical Laboratories of Hawaii LLP Past Accepting new patients

Locations

99-193 Aiea Heights Dr
Aiea, HI 96701
Phone (808) 679-4243

1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000

33 Lanihuli St
Hilo, HI 96720
Phone (808) 935-4814

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

1319 Punahou St
Bsmt
Honolulu, HI 96826
Phone (808) 983-8130

79-1019 Haukapila St
Kealakekua, HI 96750
Phone (808) 322-4413

Organizations & group practices 2

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1982866539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 KUILEI ST APT A74",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263217",
            "telephone_number": "808-358-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ILALO ST",
            "address_2": "MEB #401A",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135525",
            "telephone_number": "808-358-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "CHELESTES LEE",
        "middle_name": "KANOELEHUA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "HI",
            "license": "MDR-5454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.