Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacy K Kanayama-Trivedi, MD

Individual provider Family Medicine Physician · NPI 1164633954

Stacy K Kanayama-Trivedi, MD is registered under Family Practice in Jbphh, Hawaii. Qualified in 2005, 21 years ago. Practices with Straub Clinic and Hospital, a 423-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
21
Licensed in
LA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

480 Central Ave Dept OF Family Medicine
Jbphh, HI 96860-4908 Not confirmed with CMS for 12 years — call before visiting
Phone: (808) 473-1880
Fax: (808) 473-4411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 202089 (LA)

Record details

NPI number1164633954
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESMay 20, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Straub Clinic And Hospital — 423 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients63
Services billed 208 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Straub Clinic and Hospital

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 423 clinicians in the practice; 12 are shown here.

Other providers in Jbphh