KIM P. ODA (SP) – Speech-Language Pathologist, NPI 1780731372

KIM P. ODA (SP) is a healthcare provider. based in Honolulu, Hawaii. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold the professional credentials SP. They hold a License No. SP-294 (HI). The NPI Number for KIM P. ODA (SP) is 1780731372

Main info

Female
41 Years Of Experience
Accepts Medicare Assignment
Name
KIM P. ODA (SP)
NPI
1780731372
Phone
(808) 432-0000
Address
3288 MOANALUA RD
Enumeration Date
4 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9134123745
Graduation Year
1985 (41 years ago)
PAC ID
9133521677
Group Practice PAC ID
9830504836
Professional Enrollment ID
I20210707001137
Address ID
KS662062166PR4100XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

32 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in HI

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Provider Addresses for KIM P. ODA (SP)

  • Kaiser Permanente Moanalua Medical Center, 3288, Moanalua Road, Moanalua Valley, Honolulu, Honolulu County, Hawaii, 96819, United States

    HONOLULU, HI 968191469

    Phone: (808) 432-0000

    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: 2021-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20210707001137IQualified Speech Language PathologistKSTBD
I20210803003328IQualified Speech Language PathologistMOTBD

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
97130Therapy procedure for a range of mental processes, each additional 15 minutes2,24628$0
97129Therapy procedure for a range of mental processes, initial 15 minutes81428$0
92507Treatment of speech, language, voice, communication, and/or hearing processing disorder11411$0
92523Evaluation of speech sound production with evaluation of language comprehension and expression2923$0
View full utilization report →

Insurance plans in this area (ZIP 96819)

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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: 9830504836View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeKS
Qualified Speech Language PathologistMO
Family PracticeMO
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeIL
Occupational Therapist In Private PracticeKS
Occupational Therapist In Private PracticeTX
Qualified Speech Language PathologistNE
Qualified Speech Language PathologistIL

Reviews

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Frequently asked questions

What number should I use to identify KIM P. ODA (SP) for billing?
Administrative and clinical systems typically use NPI 1780731372 for KIM P. ODA (SP).
Is KIM P. ODA (SP) currently accepting referrals based on NPI status?
Registry metadata lists KIM P. ODA (SP) as active.
How should patients interpret KIM P. ODA (SP)'s specialty?
The extract shows Speech-Language Pathologist for KIM P. ODA (SP). Clinical services aligned with this taxonomy classification.
Which community is linked to KIM P. ODA (SP)?
KIM P. ODA (SP) shows a connection to Honolulu, Hawaii in registry-derived data.
Who maintains KIM P. ODA (SP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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