Kevin Michael Nakamura, M.D.

Primary specialty

Nuclear Radiology PhysicianTaxonomy code 2085N0904X

License

MD-15027 Issued in HI

Practice address

1 Jarrett White Rd
Tripler Army Medical Center
Tripler Army Medical Center, HI 96859-5001

Phone

(808) 433-6582

NPI assigned

Oct 20, 2005

Last updated

Sep 8, 2021By 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 4

Addresses

Medicare fee-for-service enrollment

Enrolled in HI, NJ, TX, CA4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians

American Diagnostics Services LLCGroup PAC ID 1355241274, 15 clinicians

Community Mobile Ultrasound LLCGroup PAC ID 4183761893, 16 clinicians

Symphony Diagnostic Services No 1 LLCGroup PAC ID 5193638765, 20 clinicians

Kan-Di-Ki LLCGroup PAC ID 5991737140, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• American Diagnostics Services LLC

  dba TridentCare

  • Physiological Laboratory
  • Windsor Mill, MD
  • NPI 1639140387

  HI

  Medicare reassignment Care Compare group
• Community Mobile Ultrasound, LLC

  dba TridentCare

  • Diagnostic Ultrasound Physician
  • Oceanside, CA
  • NPI 1760620959

  HI, TX

  Medicare reassignment Care Compare group
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • North Hollywood, CA
  • NPI 1750364345

  HI, NJ, TX

  Medicare reassignment Care Compare group
• Reono Bertagnolli a Medical Group

  dba Rely Radiology Group of California

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1134424005

  HI, NJ, TX

  Medicare reassignment Care Compare group
• Symphony Diagnostic Services No 1 LLC

  dba MobilexUSA

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hunt Valley, MD
  • NPI 1700865094

  HI, NJ, TX

  Medicare reassignment Care Compare group
• Community Mobile Diagnostics LLC

  dba Tridentcare

  • Diagnostic Radiology Physician
  • San Leandro, CA
  • NPI 1023104007

  HI, TX

  Medicare reassignment
• Kan-Di-Ki LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • North Hollywood, CA
  • NPI 1184930752
  NPD
• Kan-Di-Ki, LLC

  dba Diagnostic Laboratories

  • Diagnostic Ultrasound Physician
  • North Hollywood, CA
  • NPI 1548422488
  NPD
• Symphony Diagnostic Services No 1 LLC

  dba MobilexUSA

  • Physiological Laboratory
  • Clearwater, FL
  • NPI 1932376233
  NPD
• American Diagnostics Services LLC

  dba TridentCare

  • Physiological Laboratory
  • Hunt Valley, MD
  • NPI 1487954913
  NPD (past)

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1992794119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "TRIPLER ARMY MEDICAL CENTER",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAMURA",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "HI",
            "license": "MD-15027",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "CA",
            "license": "AFE112273",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "AFE112273",
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "HI",
            "license": "MD-15027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• So Pyay Myint
• Karen Lynn Myrick, LCSW
• Lei Y. Nagata, RRT
• Keith Nakamatsu, DO
• Jessie Nakamoto, PHARMD
• Joseph Leonard Napierala, MD
• Casey Cotton Nash, MD
• Christopher Naun, MD
• Sherry Neal, RDN, LDN
• Cindy Lee Neighbors, MD

• Nuclear Radiology Physician in Tripler Army Medical Center, HI
• Providers in Tripler Army Medical Center, HI by specialty
• Nuclear Radiology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.