MR. RYAN K KUWAHARA PT
NPI 1124196480
Physical Therapist in Aiea, HI

NPI Status: Active since December 02, 2006

Contact Information

99-128 AIEA HEIGHTS DR
#207
AIEA, HI
ZIP 96701
Phone: (808) 487-0487
Fax: (808) 486-8674

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  • Individual
  • Male
  • Years of Experience 29
  • Physical Therapist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About RYAN KUWAHARA

This page provides the complete NPI Profile along with additional information for Ryan Kuwahara, a provider established in Aiea, Hawaii with a medical specialization in Physical Therapist and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1124196480 assigned on December 2006. The practitioner's primary taxonomy code is 225100000X with license number PT1691 (HI). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1124196480
Provider Name
MR. RYAN K KUWAHARA PT
Gender
Male
Entity Type
Individual
Location Address
99-128 AIEA HEIGHTS DR #207 AIEA, HI 96701
Location Phone
(808) 487-0487
Location Fax
(808) 486-8674
Mailing Address
99-128 AIEA HEIGHTS DR #207 AIEA, HI 96701
Mailing Phone
(808) 487-0487
Mailing Fax
(808) 486-8674
Medical School Name
OTHER
Graduation Year
1997
Is Sole Proprietor?
No
Enumeration Date
12-02-2006
Last Update Date
04-30-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
PT1691
License State
HI
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Ryan Kuwahara is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 2567564537

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070221000482

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $23.12 for a new patient copayment and $18.73 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 96701 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.5
  • Minimum New Patient Price $60.53
  • Maximum New Patient Price $180.05
  • Average New Patient Copayment $23.12
  • Minimum New Patient Copayment $15.13
  • Maximum New Patient Copayment $45.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $74.92
  • Minimum Established Patient Price $20.09
  • Maximum Established Patient Price $147.56
  • Average Established Patient Copayment $18.73
  • Minimum Established Patient Copayment $5.02
  • Maximum Established Patient Copayment $36.89

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124196480, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 1 → 2 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 2 + 9 + 1 + 2 + 4 + 1 + 6 + 24 = 60

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1124196480.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
99-128 AIEA HEIGHTS DR, SUITE 703
AIEA, HI 96701
Marriage & Family Therapist
99-128 AIEA HEIGHTS DR
AIEA, HI 96701
Pediatrics
99-128 AIEA HEIGHTS DR, SUITE 211
AIEA, HI 96701
Pediatrics
99-128 AIEA HEIGHTS DR, SUITE 211
AIEA, HI 96701
Dentist (General Practice)
99-128 AIEA HEIGHTS DR, SUITE 203
AIEA, HI 96701
Dentist
99-128 AIEA HEIGHTS DR, #602
AIEA, HI 96701
Pediatrics
99-128 AIEA HEIGHTS DR, SUITE 211
AIEA, HI 96701
Podiatrist
99-128 AIEA HEIGHTS DR, SUITE 205
AIEA, HI 96701
Pediatrics
99-128 AIEA HEIGHTS DR, SUITE 211
AIEA, HI 96701
Pediatrics
99-128 AIEA HEIGHTS DR, #211
AIEA, HI 96701
Podiatrist
99-128 AIEA HEIGHTS DR, SUITE 205
AIEA, HI 96701
Preferred Provider Organization
99-128 AIEA HEIGHTS DR, STE 703
AIEA, HI 96701
Allergy & Immunology
99-128 AIEA HEIGHTS DR, SUITE 601
AIEA, HI 96701
Pediatrics
99-128 AIEA HEIGHTS DR, SUITE 108
AIEA, HI 96701
Chiropractor
99-128 AIEA HEIGHTS DR, SUITE 205
AIEA, HI 96701
Dermatology
99-128 AIEA HEIGHTS DR, SUITE 401
AIEA, HI 96701
Physical Therapist
99-128 AIEA HEIGHTS DR, SUITE 207
AIEA, HI 96701
Massage Therapist
99-128 AIEA HEIGHTS DR, SUITE 101A
AIEA, HI 96701
Dentist (General Practice)
99-128 AIEA HEIGHTS DR, 107
AIEA, HI 96701
Dentist
99-128 AIEA HEIGHTS DR, SUITE 203
AIEA, HI 96701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124196480, enumerated as an "individual" on December 02, 2006.

The provider is located at 99-128 AIEA HEIGHTS DR #207 AIEA, HI 96701 and the phone number is (808) 487-0487.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: HMSA. Please consult your insurance carrier or call the provider to verify.