How to Get Credentialed with Kaiser Permanente in Hawaii
Quick Overview
Timeline
60 - 90 days
CAQH
Required
Re-credentialing
Every 3 year(s)
Delegated
No
Hawaii-Specific Requirements
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Hawaii.
Complete Your CAQH ProView Profile
Kaiser Permanente requires a current CAQH ProView profile. Create or update your profile at proview.caqh.org and attest within 120 days.
Submit Your Application
Submit your completed enrollment package to Kaiser Permanente.
Track & Follow Up
Credentialing typically takes 60-90 days. Monitor your application status and respond promptly to requests for additional information.
Required Documents Checklist
Board Certification
ConditionalRequired if board certified; highly recommended
CV/Resume
5-year work history minimum; gaps > 6 months must be explained
DEA License
ConditionalRequired if prescribing controlled substances
Malpractice Insurance
Medical Degree
Medical License
NPI Certificate
Professional Reference
3 peer references required
W9_FORM
Required for EFT/tax reporting setup
Enrollment Forms
CAQH ProView
Universal credentialing application used by most commercial and BCBS payers.
RequiredKaiser Permanente Provider Application
RequiredContact Information
EDI Support
National1-888-767-4670
ITEISSupportDL@kp.org
EFT/ERA (InstaMed)
National1-877-833-6821
connect@instamed.com
Initial Credentialing (Northern CA)
NationalFax: 1-866-214-7584
Recredentialing (Northern CA)
NationalFax: 1-866-232-0147
Provider Services (WA)
National1-888-767-4670
kpwa.provider-services@kp.org
Permanente Advantage
NationalPermAdvantageTeam-KPPA@kp.org
Fax: 1-866-338-0266