KITAGAWA DERMATOLOGY LLC
NPI 1699095232
Dermatology in Honolulu, HI
About Kitagawa Dermatology Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KITAGAWA DERMATOLOGY LLC (NPI 1699095232) is a healthcare organization registered as a dermatology in Honolulu, Hawaii and active in the NPI registry since June 2010. The organization lists Kory Hiromi Kitagawa, Physician, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kitagawa Dermatology Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Kitagawa Dermatology LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Kitagawa Dermatology LLC's NPI number?
The NPI number for Kitagawa Dermatology LLC is 1699095232. It was assigned to this organization in the NPPES registry on June 5, 2010.
Where is Kitagawa Dermatology LLC located?
Kitagawa Dermatology LLC is located at 321 N Kuakini St Suite 610, Honolulu, HI 96817. The listed phone number is (808) 533-4434.
What is Kitagawa Dermatology LLC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Kitagawa Dermatology LLC enrolled in Medicare?
Yes. Kitagawa Dermatology LLC is registered in the Medicare PECOS enrollment system.
When is Kitagawa Dermatology LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Kitagawa Dermatology LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Kitagawa Dermatology LLC, in Dermatology and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kitagawa Dermatology LLC was last updated on April 10, 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.
# Kitagawa Dermatology Llc · NPI 1699095232
Dermatology organization in Honolulu, Hawaii. Organization record, active in the CMS NPPES registry since June 5, 2010.
## Identity
- **NPI:** 1699095232 (Entity type: Organization)
- **Enumerated:** June 5, 2010
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Kory Kitagawa, PHYSICIAN
## Practice location
- **Address:** 321 N KUAKINI ST, SUITE 610, Honolulu, HI 96817-2364
- **Phone:** (808) 533-4434 · **Fax:** (808) 533-4435
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Hawaii, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1699095232) · Data from the CMS NPPES public registry.