Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelsie Tada

Individual provider Medical Physician Assistant · NPI 1275904930

Kelsie Tada is a Physician Assistant in Honolulu, Hawaii. Qualified in 2014, 12 years ago. Practices with Honolulu Pain Management Clinic, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
12
Licensed in
HI
In the registry since
2015
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Practice location Address checks out

500 Ala Moana Blvd Ste 1-302
Honolulu, HI 96813-4925
Phone: (808) 528-3657
Fax: (808) 524-6552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence AMD-654 (HI)

Record details

NPI number1275904930
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 7, 2015
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Honolulu Pain Management Clinic, L.L.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Honolulu