KAYANA KAMOKU – Physician Assistant, NPI 1164264206

KAYANA KAMOKU is a healthcare provider. based in Hilo, Hawaii. specializing in PHYSICIAN ASSISTANT. They hold a License No. AMD-1417 (HI). The NPI Number for KAYANA KAMOKU is 1164264206

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
KAYANA KAMOKU
NPI
1164264206
Phone
Not provided
Address
633 PONAHAWAI ST STE 101
Enumeration Date
10 June 2024
Last Update Date
17 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2024 (2 years ago)
PAC ID
3173052958
Group Practice PAC ID
0648693051
Professional Enrollment ID
I20250123001024
Address ID
HI967207831HI670XXSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:2State licenses:1Digital endpointsOther names

359 PHYSICIAN ASSISTANT in HI

Provider Addresses for KAYANA KAMOKU

  • 633 PONAHAWAI ST STE 101

    HILO, HI 967207601

    Phone:

    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: 2025-01-23

PECOS data refreshed: 2026-06-15

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
I20250123001024IPhysician AssistantHITBD

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 96720)

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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: 0648693051View full group profile
NameSpecialtyState
Nurse PractitionerHI
Physician AssistantHI
Family PracticeHI
Family PracticeGA
Nurse PractitionerHI
Internal MedicineHI

Reviews

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Frequently asked questions

What is the 10-digit NPI for KAYANA KAMOKU?
KAYANA KAMOKU — NPI 1164264206 — is the standard way to identify this listing.
Does CMS list KAYANA KAMOKU as active?
Yes — KAYANA KAMOKU is active in the NPI listing used on this page.
What taxonomy line describes KAYANA KAMOKU?
For research purposes, treat KAYANA KAMOKU as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KAYANA KAMOKU on a map?
Expect Hilo, Hawaii as a primary anchor for KAYANA KAMOKU unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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