DR. KAPUA K. MEDEIROS (M.D.) – Family Medicine Physician, NPI 1154632578

DR. KAPUA K. MEDEIROS (M.D.) is a healthcare provider. based in Lihue, Hawaii. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 17044 (HI). The NPI Number for DR. KAPUA K. MEDEIROS (M.D.) is 1154632578

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. KAPUA K. MEDEIROS (M.D.)
NPI
1154632578
Phone
(808) 240-0119
Address
P.O.BOX 3990
Enumeration Date
30 June 2010
Last Update Date
15 June 2021

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
8084413500
Graduation Year
2010 (16 years ago)
PAC ID
2365683794
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20130729000392
Address ID
HI967923854WA87211HWYX400
Telehealth
Yes

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

514 FAMILY PRACTICE in HI

Provider Addresses for DR. KAPUA K. MEDEIROS (M.D.)

  • P.O.BOX 3990

    LIHUE, HI 96766

    Phone: (808) 240-0119

    Type: Mailing

  • 4800D KAWAIHAU ROAD

    KAPAA, HI 96746

    Phone: (808) 240-0170

    Type: Location

  • 4366 KUKUI GROVE ST STE 101

    LIHUE, HI 967662006

    Phone: (808) 246-5600

    Type: Location

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: 2013-07-29

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
I20130729000392IFamily PracticeHITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8145$0
99212Established patient office or other outpatient visit, 10-19 minutes3321$0
99441Telephone medical discussion with physician, 5-10 minutes3118$0
90662Influenza vaccine split virus, preservative free2725$0
G0008Administration of influenza virus vaccine2624$0
View full utilization report →

Insurance plans in this area (ZIP 96766)

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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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No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How is DR. KAPUA K. MEDEIROS (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. KAPUA K. MEDEIROS (M.D.) with NPI 1154632578.
Can I rely on DR. KAPUA K. MEDEIROS (M.D.) being an active provider?
As of the registry snapshot, DR. KAPUA K. MEDEIROS (M.D.) is marked active.
What taxonomy line describes DR. KAPUA K. MEDEIROS (M.D.)?
For research purposes, treat DR. KAPUA K. MEDEIROS (M.D.) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does DR. KAPUA K. MEDEIROS (M.D.) list a practice location?
Patients near Lihue, Hawaii may find DR. KAPUA K. MEDEIROS (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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