DR. DAMIEN KEKANEINOA III TAVARES (M.D.) – Interventional Pain Medicine Physician, NPI 1194921619

DR. DAMIEN KEKANEINOA III TAVARES (M.D.) is a healthcare provider. based in Honolulu, Hawaii. specializing in Interventional Pain Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD15987 (HI). The NPI Number for DR. DAMIEN KEKANEINOA III TAVARES (M.D.) is 1194921619

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAMIEN KEKANEINOA III TAVARES (M.D.)
NPI
1194921619
Phone
(808) 445-9172
Address
2226 LILIHA STREET
Enumeration Date
22 June 2007
Last Update Date
27 July 2015

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2006 (20 years ago)
PAC ID
5698916799
Professional Enrollment ID
I20130801000753
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for DR. DAMIEN KEKANEINOA III TAVARES (M.D.)

  • 2226, Liliha Street, Liliha, Honolulu, Honolulu County, Hawaii, 96817, United States

    SUITE 407

    HONOLULU, HI 968171600

    Phone: (808) 445-9172

    Fax: (808) 445-9182

    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)

CMS reports 4 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: MML US, Inc. ($136).

Total Amount

$247

General + Research + Ownership

Payments

4

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
MML US, Inc.$136
Abbott Laboratories$111
View all Open Payments →|Open Payments Risk Radar →

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: 2013-08-01

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
I20130801000753IPain ManagementHITBD

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
Q9966Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml15036$0
99213Established patient office or other outpatient visit, 20-29 minutes8432$0
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level4424$0
64484Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level2617$0
View full utilization report →

Insurance plans in this area (ZIP 96817)

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Reviews

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Frequently asked questions

Where can patients find DR. DAMIEN KEKANEINOA III TAVARES (M.D.)'s NPI?
You can confirm DR. DAMIEN KEKANEINOA III TAVARES (M.D.) with NPI 1194921619; it appears in the national provider directory.
Does this profile mean DR. DAMIEN KEKANEINOA III TAVARES (M.D.) is currently active?
Yes — DR. DAMIEN KEKANEINOA III TAVARES (M.D.) appears active in the national provider directory.
What kind of provider is DR. DAMIEN KEKANEINOA III TAVARES (M.D.)?
The page reflects Interventional Pain Medicine Physician for DR. DAMIEN KEKANEINOA III TAVARES (M.D.). Clinical services aligned with this taxonomy classification.
What location shows for DR. DAMIEN KEKANEINOA III TAVARES (M.D.)?
We surface Honolulu, Hawaii for DR. DAMIEN KEKANEINOA III TAVARES (M.D.) based on available NPPES addresses.
How can I contact DR. DAMIEN KEKANEINOA III TAVARES (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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