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KAHEALANI K RIVERA MD
NPI 1841491818
Internal Medicine in Honolulu, HI

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment
94.18/100
CMS Quality Rating
THE QUEEN'S MEDICAL CENTER, 1301 PUNCHBOWL ST, HONOLULU, HI 96813(808) 538-9011 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kahealani K Rivera Md NPPES

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

KAHEALANI K RIVERA MD (NPI 1841491818) is an individual internal medicine provider in Honolulu, Hawaii, licensed in Hawaii (MD-15100) 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 Stanford University School Of Medicine (2006).

NPPES Registry Identity

NPI1841491818
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKAHEALANI K RIVERACredential: MD
Location AddressTHE QUEEN'S MEDICAL CENTER, 1301 PUNCHBOWL STHonolulu, HI 96813
Mailing Address1301 Punchbowl St, Pauahi 3rd FloorHonolulu, HI 96813-2402 · (808) 691-4535
Phone(808) 538-9011
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 2006
Enumeration DateMay 29, 2007
Last NPPES UpdateDecember 4, 2012
✔ NPI 1841491818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in HI · MD-15100
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
THE QUEEN'S MEDICAL CENTER, Honolulu, HI 96813
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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

Kahealani K Rivera 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 ID6305086802
PECOS Enrollment IDI20130705000164
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

4

Medicare enrollment records show Kahealani Rivera reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Queen Emma Clinics
Same address
Clinic/Center
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • Medicare enrollment name: The Queens Medical Center
  • 809 clinicians in this Medicare group
NPI 1528097094 (808) 547-4970
Queens University Medical Group
Same address
Multi-Specialty
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 859 clinicians in this Medicare group
NPI 1891441382 (808) 691-1000
Windward Heart Center LLC
9.4 mi
Cardiovascular Disease
25 MALUNIU AVE STE 201
Kailua, HI 96734
  • Reassigned Medicare billing, Hawaii enrollment
  • 5 clinicians in this Medicare group
NPI 1811189285 (808) 261-2441
Queens North Hawaii Community Hospital
167 mi
Home Health
67-1125 MAMALAHOA HWY
Kamuela, HI 96743
  • Reassigned Medicare billing, Hawaii enrollment
  • 277 clinicians in this Medicare group
NPI 1124009584 (808) 881-4400

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 7

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.
860 services364 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.
163 services94 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
133 services132 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
42 services40 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.
33 services33 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

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 96813 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
$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

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers11 claims51 services$11.72 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers13 claims13 services$36.64 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers11 claims11 services$11.78 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers16 claims16 services$7.99 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers23 claims124 services$1.55 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier28 claims28 services$11.73 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

JAMES L JOYNER MD
Internal Medicine (Infectious Disease)
THE QUEEN'S MEDICAL CENTER, 1301 PUNCHBOWL
HONOLULU, HI 96813
Honolulu County (808) 366-4886

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 Kahealani Rivera's NPI number?

The NPI number for Kahealani Rivera is 1841491818. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Kahealani Rivera located?

Kahealani Rivera practices at The Queen's Medical Center 1301 Punchbowl St, Honolulu, HI 96813. The listed phone number is (808) 538-9011.

What is Kahealani Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kahealani Rivera enrolled in Medicare?

Yes. Kahealani Rivera 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.

Which organizations bill Medicare for Kahealani Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kahealani Rivera reassigns Medicare benefits to 4 organizations: Queen Emma Clinics (Honolulu, HI), Queens University Medical Group (Honolulu, HI), Windward Heart Center LLC (Kailua, HI) and Queens North Hawaii Community Hospital (Kamuela, HI). Each 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 Kahealani Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kahealani Rivera accept?

Health plans from HMSA list Kahealani Rivera 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 Kahealani Rivera affiliated with any hospitals?

According to CMS data, Kahealani Rivera is affiliated with The Queens Medical Center and Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Kahealani Rivera was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.