KAITLYNN MIYOSHI EBISUTANI MD
NPI 1356965347
Obstetrics & Gynecology in Aiea, HI

Active since June 04, 2020PECOS EnrolledAccepts Medicare Assignment
98-1005 MOANALUA RD SPC 3010, AIEA, HI 96701(808) 671-0090(908) 671-5376 Get Directions Write a Review

NPPES record last updated: June 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2025, Jun 4, 2020 (2 updates tracked since 2020).

About Kaitlynn Miyoshi Ebisutani Md NPPES

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

KAITLYNN MIYOSHI EBISUTANI MD (NPI 1356965347) is an individual obstetrics & gynecology provider in Aiea, Hawaii, licensed in Hawaii (MD-24152) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Pali Momi Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (2020).

NPPES Registry Identity

NPI1356965347
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKAITLYNN MIYOSHI EBISUTANICredential: MD
Location Address98-1005 MOANALUA RD SPC 3010Aiea, HI 96701-4735
Mailing Address1319 Punahou St # 824Honolulu, HI 96826-1080
Fax(908) 671-5376
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 2020
Enumeration DateJune 4, 2020
Last NPPES UpdateJune 30, 20252 updates tracked since enumeration
NPPES CertifiedJune 30, 2025
NPI 1356965347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in HI · MD-24152
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
98-1005 MOANALUA RD SPC 3010, Aiea, HI 96701

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kaitlynn Miyoshi Ebisutani Md 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 ID3577004910
PECOS Enrollment IDI20240925001762
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.

Hospital Affiliations CMS Care Compare 2

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

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
OwnershipVoluntary non-profit - Private
CMS Certification Number123300
Location1319 Punahou StreetHonolulu, HI 96826 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96701 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
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

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

Obstetrics & Gynecology
98-1005 MOANALUA RD SPC 3010
AIEA, HI 96701

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 Kaitlynn Ebisutani's NPI number?

The NPI number for Kaitlynn Ebisutani is 1356965347. It was assigned to this individual provider in the NPPES registry on June 4, 2020.

Where is Kaitlynn Ebisutani located?

Kaitlynn Ebisutani practices at 98-1005 Moanalua Rd Spc 3010, Aiea, HI 96701. The listed phone number is (808) 671-0090.

What is Kaitlynn Ebisutani's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kaitlynn Ebisutani enrolled in Medicare?

Yes. Kaitlynn Ebisutani is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kaitlynn Ebisutani accept?

Health plans from HMSA list Kaitlynn Ebisutani as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kaitlynn Ebisutani affiliated with any hospitals?

According to CMS data, Kaitlynn Ebisutani is affiliated with Pali Momi Medical Center and Kapiolani Medical Center For Women & Children.

When was this NPI record last updated?

The NPPES record for Kaitlynn Ebisutani was last updated on June 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.