KIM H. KAWAKAMI (OD) – Optometrist, NPI 1053496091

KIM H. KAWAKAMI (OD) is a healthcare provider. based in Wailuku, Hawaii. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OD-490 (HI). The NPI Number for KIM H. KAWAKAMI (OD) is 1053496091

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
KIM H. KAWAKAMI (OD)
NPI
1053496091
Phone
(808) 243-6000
Address
80 MAHALANI ST
Enumeration Date
26 October 2006
Last Update Date
21 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8082436000
Graduation Year
1998 (28 years ago)
PAC ID
0143220749
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20070104000492
Address ID
HI967932531WA80XXXSTXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

236 OPTOMETRY in HI

Provider Addresses for KIM H. KAWAKAMI (OD)

  • 80 MAHALANI ST

    WAILUKU, HI 967932531

    Phone: (808) 243-6000

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070104000492IOptometryHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96793)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618880667View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
O P T O M E T R YHI
-HI
Physician AssistantHI
Emergency MedicineVA
Orthopedic SurgeryHI
Internal MedicineHI
Orthopedic SurgeryHI
-HI
-CO

Reviews

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Frequently asked questions

Does KIM H. KAWAKAMI (OD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KIM H. KAWAKAMI (OD) uses 1053496091.
Does the file indicate KIM H. KAWAKAMI (OD) is practicing under active NPI?
Directory data currently reports KIM H. KAWAKAMI (OD) as active.
What is KIM H. KAWAKAMI (OD) best known for clinically?
Directory data describes KIM H. KAWAKAMI (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Where should I expect KIM H. KAWAKAMI (OD) on a map?
Expect Wailuku, Hawaii as a primary anchor for KIM H. KAWAKAMI (OD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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