C. Kimo Chan, M.D., LLC
NPI 1063740470 · Child & Adolescent Psychiatry Physician · Kaneohe, HI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
C. Kimo Chan, M.D., LLC is a Child & Adolescent Psychiatry Physician organization in Kaneohe, HI (NPI 1063740470).
Provider details
- NPI number
- 1063740470
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- C. Chan, Child & Adolescent Psychiatrist(808) 371-1311
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-11-23
- Last updated
- 2009-11-23
Frequently asked questions
- What is C. Kimo Chan, M.D., LLC's NPI number?
- C. Kimo Chan, M.D., LLC's National Provider Identifier (NPI) is 1063740470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is C. Kimo Chan, M.D., LLC?
- C. Kimo Chan, M.D., LLC is classified in the NPPES registry as Child & Adolescent Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is C. Kimo Chan, M.D., LLC located?
- C. Kimo Chan, M.D., LLC's practice location on file with NPPES is 46-271 Haiku Rd, Kaneohe, HI 96744-4144.
- What is C. Kimo Chan, M.D., LLC's phone number?
- The practice phone number listed in the NPPES registry for C. Kimo Chan, M.D., LLC is (808) 235-4204.
- Does C. Kimo Chan, M.D., LLC accept Medicare?
- C. Kimo Chan, M.D., LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for C. Kimo Chan, M.D., LLC?
- The authorized official listed on C. Kimo Chan, M.D., LLC's NPPES record is C. Chan, Child & Adolescent Psychiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is C. Kimo Chan, M.D., LLC's NPI active?
- Yes — C. Kimo Chan, M.D., LLC's NPI (1063740470) is active in the NPPES registry as of the last update on 2009-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.