STACY K KANAYAMA-TRIVEDI M.D.
NPI 1164633954
Family Medicine in Jbphh, HI

Q: What is Stacy Kanayama-trivedi's NPI number?

The NPI number for Stacy Kanayama-trivedi is 1164633954. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Q: What is Stacy Kanayama-trivedi's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment

480 CENTRAL AVE, DEPARTMENT OF FAMILY MEDICINE, JBPHH, HI 96860(808) 473-1880(808) 473-4411 Get Directions Write a Review

NPPES record last updated: May 20, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Stacy K Kanayama-trivedi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY K KANAYAMA-TRIVEDI M.D. (NPI 1164633954) is an individual family medicine provider in Jbphh, Hawaii, licensed in Louisiana (202089) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1164633954

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSTACY K KANAYAMA-TRIVEDICredential: M.D.

Location Address480 CENTRAL AVE, DEPARTMENT OF FAMILY MEDICINEJbphh, HI 96860-4908

Mailing Address480 Central Ave, Department Of Family MedicineJbphh, HI 96860-4908 · (808) 473-1880 · Fax (808) 473-4411

Phone(808) 473-1880

Fax(808) 473-4411

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMay 24, 2007

Last NPPES UpdateMay 20, 2014

✔ NPI 1164633954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in LA · 202089

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

480 CENTRAL AVE, Jbphh, HI 96860

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Other Identifiers 2

Medicaid1092479LA

Medicare PIN4N295F600LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stacy K Kanayama-trivedi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355417312

PECOS Enrollment IDI20140807001482

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stacy Kanayama-trivedi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hawaiian Island Clinics

6.7 mi

Urgent Care

405 N KUAKINI ST STE 103
Honolulu, HI 96817

Reassigned Medicare billing, Hawaii enrollment
14 clinicians in this Medicare group

NPI 1518752609 (808) 600-5036

Hawaii Injury Recovery Center, Inc

6.8 mi

Physical Medicine & Rehabilitation

321 N KUAKINI ST STE 501
Honolulu, HI 96817

Reassigned Medicare billing, Hawaii enrollment
3 clinicians in this Medicare group

NPI 1881203289 (808) 762-0777

Straub Clinic & Hospital

7.6 mi

Multi-Specialty

888 S KING ST
Honolulu, HI 96813

Reassigned Medicare billing, Hawaii enrollment
664 clinicians in this Medicare group

NPI 1457306508 (808) 522-4000

Kapiolani Medical Specialists

8.7 mi

Multi-Specialty

1319 PUNAHOU ST
Honolulu, HI 96826

Reassigned Medicare billing, Hawaii enrollment
370 clinicians in this Medicare group

NPI 1124071014 (808) 983-8736

Kapiolani Medical Center For Women & Children

8.7 mi

Multi-Specialty

1319 PUNAHOU ST
Honolulu, HI 96826

Reassigned Medicare billing, Hawaii enrollment
262 clinicians in this Medicare group

NPI 1548215692 (808) 983-6000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

88 services52 patients

Telephone medical discussion with physician, 5-10 minutes 99441

A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.

46 services29 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120001

Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County

Emergency services Birthing friendly

Kuakini Medical Center

Acute Care Hospitals · Honolulu, HI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number120007

Location347 North Kuakini StreetHonolulu, HI 96817 · Honolulu County

Emergency services

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120022

Location888 S King StreetHonolulu, HI 96813 · Honolulu County

Emergency services

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI

4/5 CMS rating

OwnershipProprietary

CMS Certification Number120026

Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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