C. KIMO CHAN, M.D., LLC
NPI 1063740470
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kaneohe, HI
About C. Kimo Chan, M.d., Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
C. KIMO CHAN, M.D., LLC (NPI 1063740470) is a healthcare organization registered as a child & adolescent psychiatry in Kaneohe, Hawaii and active in the NPI registry since November 2009. The organization lists C. Kimo Chan, Child & Adolescent Psychiatrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
C. Kimo Chan, M.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to C. Kimo Chan, M.D., LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is C. Kimo Chan, M.D., LLC's NPI number?
The NPI number for C. Kimo Chan, M.D., LLC is 1063740470. It was assigned to this organization in the NPPES registry on November 23, 2009.
Where is C. Kimo Chan, M.D., LLC located?
C. Kimo Chan, M.D., LLC is located at 46-271 Haiku Rd, Kaneohe, HI 96744. The listed phone number is (808) 235-4204.
What is C. Kimo Chan, M.D., LLC's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is C. Kimo Chan, M.D., LLC enrolled in Medicare?
Yes. C. Kimo Chan, M.D., LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through C. Kimo Chan, M.D., LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to C. Kimo Chan, M.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for C. Kimo Chan, M.D., LLC was last updated on November 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# C. Kimo Chan, M.d., Llc · NPI 1063740470
Child & Adolescent Psychiatry organization in Kaneohe, Hawaii. Organization record, active in the CMS NPPES registry since November 23, 2009.
## Identity
- **NPI:** 1063740470 (Entity type: Organization)
- **Enumerated:** November 23, 2009
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **Organization subpart:** No
- **Authorized official:** C. Chan, CHILD & ADOLESCENT PSYCHIATRIST
## Practice location
- **Address:** 46-271 HAIKU RD, Kaneohe, HI 96744-4144
- **Phone:** (808) 235-4204
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Psychiatry) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 23, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1063740470) · Data from the CMS NPPES public registry.