DR. BROCK J. K. KAYA – Anatomic Pathology & Clinical Pathology Physician, NPI 1972557684

DR. BROCK J. K. KAYA is a healthcare provider. based in Honolulu, Hawaii. specializing in PATHOLOGY. They hold a License No. 10721 (HI). The NPI Number for DR. BROCK J. K. KAYA is 1972557684

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
DR. BROCK J. K. KAYA
NPI
1972557684
Phone
(808) 432-0000
Address
3288 MOANALUA RD
Enumeration Date
19 May 2006
Last Update Date
10 May 2021

Doctor Profile

Medical School Name
UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE
Secondary Phone
8084320000
Graduation Year
1990 (36 years ago)
PAC ID
6507035557
Group Practice PAC ID
7618880667
Professional Enrollment ID
I20110808000511
Address ID
HI968191469HO3288XRDXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

57 PATHOLOGY in HI

Provider Addresses for DR. BROCK J. K. KAYA

  • 3288 MOANALUA RD

    HONOLULU, HI 968191469

    Phone: (808) 432-0000

    Type: Location

  • HomeWorld Furniture, 702, South Beretania Street, Makiki Kai, Honolulu, Honolulu County, Hawaii, 96813, United States

    SUITE B100

    HONOLULU, HI 968132581

    Phone: (808) 538-3888

    Fax: (808) 533-4008

    Type: Mailing

  • The Queen's Medical Center, 1301, Punchbowl Street, Downtown, Hawaii Capital Historic District, Honolulu, Honolulu County, Hawaii, 96813, United States

    4TH FLOOR

    HONOLULU, HI 968132402

    Phone: (808) 547-4271

    Fax: (808) 533-4008

    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: 2011-08-08

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
I20110808000511IPathologyHITBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity5033$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: 7618880667View full group profile
NameSpecialtyState
P S Y C H I A T R YCA
O P T O M E T R YHI
-HI
Physician AssistantHI
Emergency MedicineVA
Orthopedic SurgeryHI
Internal MedicineHI
Orthopedic SurgeryHI
-HI
-CO

Reviews

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Frequently asked questions

Can I cross-check DR. BROCK J. K. KAYA using NPI 1972557684?
NPI 1972557684 belongs to DR. BROCK J. K. KAYA; compare other details if you need extra assurance.
Active or inactive — what applies to DR. BROCK J. K. KAYA?
You should see DR. BROCK J. K. KAYA as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. BROCK J. K. KAYA?
At a glance, DR. BROCK J. K. KAYA is tied to Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Is DR. BROCK J. K. KAYA located near Honolulu?
DR. BROCK J. K. KAYA currently maps to Honolulu, Hawaii in this extract.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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