KATHERINE S. HEINZEN JIM (M.D.) – Emergency Medicine Physician, NPI 1821032822

KATHERINE S. HEINZEN JIM (M.D.) is a healthcare provider. based in Kailua, Hawaii. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. MD - 13731 (HI). The NPI Number for KATHERINE S. HEINZEN JIM (M.D.) is 1821032822

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
KATHERINE S. HEINZEN JIM (M.D.)
NPI
1821032822
Phone
(808) 261-3326
Address
PO BOX 1266
Enumeration Date
16 June 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
8084694900
Graduation Year
2002 (24 years ago)
PAC ID
2567465701
Group Practice PAC ID
1658275847
Professional Enrollment ID
I20060809000069
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

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Provider Addresses for KATHERINE S. HEINZEN JIM (M.D.)

  • Kailua Post Office, 335, Hahani Street, Enchanted Lake, Kailua, Honolulu County, Hawaii, 96734, United States

    KAILUA, HI 967341266

    Phone: (808) 261-3326

    Fax: (808) 263-4604

    Type: Mailing

  • The Collective: Tattoo, Cafe & Gallery, 407, Uluniu Street, Kailua, Honolulu County, Hawaii, 96734, United States

    4TH FLOOR

    KAILUA, HI 967342519

    Phone: (808) 261-3326

    Fax: (808) 263-4604

    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: 2006-08-09

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
I20060809000069IEmergency MedicineHITBD

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
99285Emergency department visit with high level of medical decision making8584$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6261$0
99284Emergency department visit with moderate level of medical decision making4747$0
99291Critical care, first 30-74 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 96734)

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Provider's Procedures

KATHERINE S. HEINZEN JIM (M.D.) performs procedures in Emergency Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
EMERGENCY MEDICINEHI93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report129117

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: 1658275847View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KATHERINE S. HEINZEN JIM (M.D.) in the U.S.?
In the U.S., KATHERINE S. HEINZEN JIM (M.D.) is identified by NPI 1821032822.
Quick check: is KATHERINE S. HEINZEN JIM (M.D.) active?
Public NPPES data shows KATHERINE S. HEINZEN JIM (M.D.) with an active NPI status right now.
What type of care does KATHERINE S. HEINZEN JIM (M.D.) provide?
KATHERINE S. HEINZEN JIM (M.D.)'s profile centers on Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is KATHERINE S. HEINZEN JIM (M.D.) tied to Kailua, Hawaii?
If you are local to Kailua, Hawaii, KATHERINE S. HEINZEN JIM (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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