NPIMap

State of Hawaii Department of Health

A Medicare group practice based in Honolulu, HI: 24 NPIs enrolled under one PECOS associate control ID (PAC ID 5395648539), with 23 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395648539The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
HI
Enrollments
1
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
21In 18 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040127000902 HI Part B Supplier - Clinic/Group Practice 1306062690

NPIs in this group 24

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 23

Clinicians who reassign their Medicare benefits to this group (23) or whom Care Compare lists as members (5).

Sources for this page