STACY K KANAYAMA-TRIVEDI (M.D.) – Family Medicine Physician, NPI 1164633954
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
514 FAMILY PRACTICE in HI
Provider Addresses for STACY K KANAYAMA-TRIVEDI (M.D.)
480 CENTRAL AVE
DEPARTMENT OF FAMILY MEDICINE
JBPHH, HI 968604908
Phone: (808) 473-1880
Fax: (808) 473-4411
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: 2014-08-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140807001482 | I | Family Practice | HI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | 54 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 60 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 21 | $0 |
Insurance plans in this area (ZIP 96860)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | HI | |
| Emergency Medicine | MI | |
| Emergency Medicine | HI | |
| Nurse Practitioner | HI | |
| Emergency Medicine | HI | |
| Hospitalist, Internal Medicine | CA | |
| Emergency Medicine | HI |
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