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DR. KENNETH N.M. SUMIDA M.D.
NPI 1437126380
Internal Medicine - Hematology & Oncology in Honolulu, HI

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
94.18/100
CMS Quality Rating
321 N KUAKINI ST, #412, HONOLULU, HI 96817(808) 531-8521(808) 539-9337 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2023, Jan 9, 2017 (2 updates tracked since 2017).

About Dr. Kenneth N.m. Sumida M.d. NPPES

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

DR. KENNETH N.M. SUMIDA M.D. (NPI 1437126380) is an individual hematology & oncology provider in Honolulu, Hawaii, licensed in Hawaii (MD6645) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1982).

NPPES Registry Identity

NPI1437126380
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. KENNETH N.M. SUMIDACredential: M.D.
Location Address321 N KUAKINI ST, #412Honolulu, HI 96817-2364
Mailing Address321 N Kuakini St Ste 404Honolulu, HI 96817-2360 · (808) 772-4743 · Fax (808) 772-4036
Phone(808) 531-8521
Fax(808) 539-9337
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1982
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2023
✔ NPI 1437126380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in HI · MD6645
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
321 N KUAKINI ST, Honolulu, HI 96817
Open in Google Maps ↗

Other Identifiers 2

Other0063297HI · Hmsa
Medicaid05490001HI

Accepted Insurance

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

Dr. Kenneth N.m. Sumida 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 ID5092897082
PECOS Enrollment IDI20101210000095
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.

Areas of Expertise CMS Part B claims 5

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
451 services93 patients
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.
346 services166 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
208 services150 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
70 services63 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 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

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 96817 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
$180.05 typical visit price
range $60.53 – $180.05
Typical copayment $45.01 (range $15.13 – $45.01)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.28
Promoting Interoperability100
Improvement Activities40

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.

EMILY DIEP, M.D., LLC
Internal Medicine
321 N KUAKINI ST, SUITE NUMBER 715
HONOLULU, HI 96817
Honolulu County (808) 523-6461
ELIOT NOBUO TOMOMITSU M.D.
Pediatrics
321 N KUAKINI ST, SUITE #201
HONOLULU, HI 96817
Honolulu County (808) 523-8611
BARON K. F. CHING M.D.
Internal Medicine
321 N KUAKINI ST, 708
HONOLULU, HI 96817
Honolulu County (808) 536-7791
DR. STUART SUGIHARA M.D.
Internal Medicine (Pulmonary Disease)
321 N KUAKINI ST, STE 502
HONOLULU, HI 96817
Honolulu County (808) 531-9753
CHAELYN CULLEN
Nurse Practitioner
321 N KUAKINI ST
HONOLULU, HI 96817
Honolulu County (808) 772-4743
DIANE M. SAKAI MD
Internal Medicine
321 N KUAKINI ST, SUITE 514
HONOLULU, HI 96817
Honolulu County (808) 533-4274
JOSEPH K KOO MD
Internal Medicine (Infectious Disease)
321 N KUAKINI ST
HONOLULU, HI 96817
Honolulu County (808) 523-6461
DR. OSAMU FUKUYAMA M.D.
Internal Medicine (Cardiovascular Disease)
321 N KUAKINI ST, SUITE 504
HONOLULU, HI 96817
Honolulu County (808) 538-1125

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 Kenneth Sumida's NPI number?

The NPI number for Kenneth Sumida is 1437126380. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Kenneth Sumida located?

Kenneth Sumida practices at 321 N Kuakini St #412, Honolulu, HI 96817. The listed phone number is (808) 531-8521.

What is Kenneth Sumida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Kenneth Sumida enrolled in Medicare?

Yes. Kenneth Sumida 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 Kenneth Sumida accept?

Health plans from HMSA list Kenneth Sumida 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 Kenneth Sumida affiliated with any hospitals?

According to CMS data, Kenneth Sumida is affiliated with The Queens Medical Center, Kuakini Medical Center, Pali Momi Medical Center and Kapiolani Medical Center For Women & Children.

When was this NPI record last updated?

The NPPES record for Kenneth Sumida was last updated on January 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.