KEALA KAAIKALA (PA-C) – Physician Assistant, NPI 1245892454

KEALA KAAIKALA (PA-C) is a healthcare provider. based in Stanton, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KEALA KAAIKALA (PA-C) is 1245892454

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KEALA KAAIKALA (PA-C)
NPI
1245892454
Phone
Not provided
Address
6231 W STANTON RD
Enumeration Date
8 July 2019
Last Update Date
19 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
3678906054
Group Practice PAC ID
8921993205
Professional Enrollment ID
I20191126002075
Address ID
CA923085149AP19333RDXX400

Contacts

Secure Messaging
urgentcaresmhd@sjhhandhmg.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness85
Years active:6State licenses:0Other namesUpdated within 12 months

10,570 PHYSICIAN ASSISTANT in CA

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Provider Addresses for KEALA KAAIKALA (PA-C)

  • Stanton Road, Bardwell, West Suffolk, Suffolk, East of England, England, IP31 1AP, United Kingdom

    STANTON, MI 488888737

    Phone:

    Type: Mailing

  • Hesperia Road, Greentree East, Victorville, San Bernardino County, California, 92393, United States

    VICTORVILLE, CA 923955873

    Phone: (760) 381-7703

    Type: Location

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 $186.

Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.

Last reported payment date: 2024-07-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($140).

Total Amount

$186

General + Research + Ownership

Payments

4

Total payment records

General Amount

$186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-30

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-11-26

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
I20191126002075IPhysician AssistantCATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes155148$0
81002Urinalysis, manual test1413$0
99202New patient office or other outpatient visit, 15-29 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 48888)

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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: 8921993205View full group profile

Reviews

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Frequently asked questions

How do I look up KEALA KAAIKALA (PA-C) by NPI?
Use NPI 1245892454 when you need to reference KEALA KAAIKALA (PA-C) in forms, claims, or directories.
Is KEALA KAAIKALA (PA-C)'s NPI currently valid?
The extract we use shows KEALA KAAIKALA (PA-C) as active.
Can you summarize KEALA KAAIKALA (PA-C)'s specialty in plain language?
Clinically, the directory lists KEALA KAAIKALA (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does KEALA KAAIKALA (PA-C) practice in Michigan?
You will see Stanton, Michigan on file for KEALA KAAIKALA (PA-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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