Maui Health System a Kaiser Foundation Hospitals LLC
Organization Active NPI General Acute Care Hospital · Wailuku, HI
NPI 1013379460 · NPPES record last updated Jul 14, 2025
Key facts
- NPI
- 1013379460
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
- Practice address
- 221 Mahalani St
Wailuku, HI 96793-2581 - Phone
- (808) 244-9056
- NPI assigned
- Mar 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Debra L Cartwright
- Title
- Cfo
- Phone
- (808) 633-1543
Owners & managing parties with NPI records 1
-
Bryan C Smith, M.D.
Owned or controlled facilities with NPI records 2
Other NPIs on the same Medicare enrollment 7
Other NPIs with the same Medicare PAC ID 4
Member of 1
Facilities with the same owner 78
Practitioners 206
-
Wazhma Aslamy, M.D.
-
Jason T Call, MD
-
Sissi Cao, MD
-
Fatima Malene Imara, M.D.
-
Marc E Kruger, M.D.
-
Marcus Aleksander Kuikka, MBBS
-
James M McKinnon, MD
-
Peter Daniel Muthard, M.D.
-
Mark Rosenblatt, M.D.
-
Jeffrey Scott Rosett, M.D.
-
Alicia Roston, MD
-
Teresa Marie Schulze, APRN
-
Michael J Shea, MD
-
Kenneth W Smith, DO
-
Shelini Sooklal, M.D.
-
Giulietta C Swenson, PSY.D.
-
Naomi M Tamparong, NP-C
Affiliated clinicians 234
-
Joseph Aoki, MD
-
Wazhma Aslamy, M.D.
-
Nicholas Alexander Atkinson, AGPCNP
-
Vijak Ayasanonda, M.D.
-
Timothy G. Berney, M.D.
-
Anne Biedel, M.D.
-
Douglas K Birch, D.P.M.
-
Daniel F Brandt, M.D.
-
Evan G. Brown, DO
-
Zora Bulatovic, M.D.
-
Teresa L Caffiero, PHYSICIAN ASSISTANT
-
Jason T Call, MD
-
Jason Lee Cantor, PHYSICIAN ASSISTANT
-
Sissi Cao, MD
-
Soren N Carlsen, MD
-
Michael Ethan Carney, M.D.
-
Arthur B. Chasen, MD
Medicare Care Compare: Hospital
- Listed as
- Maui Memorial Medical Center
- Overall star rating
- ★★☆☆☆ 2 of 5
- Type
- Acute Care Hospitals
- Ownership
- Government - State
- Medicare certification status
- Active
- Emergency services
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in HI
Hospital certification: CCN 120002
- Legal name
- MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
- Doing business as
- MAUI MEMORIAL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 10, 1986
- Beds
- 213
- Ownership / control type
- State
- Most recent change of ownership
- Jul 1, 2017 (1 total)
- Organization structure
- LLC · Non-profit
- Incorporated
- Dec 24, 2015 in HI
- Enrollment address
- 221 Mahalani St
Wailuku, HI 96819-1469 - Hospital subgroups
- Acute care
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Clay Sutherland |
Corporate Director |
Jul 1, 2017 | 100% |
| Anthony Paul Takitani |
Corporate Director |
Jul 1, 2017 | 100% |
| John M Yamamoto |
Corporate Director |
Jul 1, 2017 | 100% |
| Michael a Rembis |
Corporate Officer |
Sep 1, 2017 | |
| W-2 Managing Employee |
Sep 1, 2017 | ||
| Kathryn Lancaster |
Corporate Director |
Jul 1, 2017 | 100% |
| Mary M Hew |
Corporate Director |
Jul 1, 2017 | 100% |
| Tamar Goodfellow |
Corporate Director |
Mar 31, 2021 | 100% |
| Kaiser Foundation Hospitals |
5% Or Greater Direct Ownership Interest | Jul 1, 2017 | 100% |
| Wade Ebersole |
Corporate Officer |
Feb 23, 2023 | |
| W-2 Managing Employee |
Feb 23, 2023 | ||
| Operational/Managerial Control |
Feb 23, 2023 | ||
| Stephen D Miller |
Corporate Director |
Jul 1, 2017 | 100% |
| Bryan C Smith |
Corporate Director |
Jul 1, 2017 | 100% |
All facility ownership & control disclosures 3
| Facility | Type | Role | Since |
|---|---|---|---|
| Lanai Community Hospital |
Hospital | Operational/Managerial Control (100%) | Jul 1, 2017 |
| Kula Hospital |
Hospital | Operational/Managerial Control (100%) | Jul 1, 2017 |
| Kula Hospital |
Hospital | Operational/Managerial Control (100%) | Jul 1, 2017 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170411000946 | HI | Part a Provider - Hospital | 9830476159 | Practice locations: Wailuku, HI |
| O20170725002612 | HI | Part B Supplier - Clinic/Group Practice | 9830476159 |
Receives reassigned benefits from 139 practitioners 7 other NPIs on this enrollment Practice locations: Kula, HI; Wailuku, HI; Lanai City, HI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
221 Mahalani St
Wailuku, HI 96793-2581
Mailing address
221 Mahalani St
Wailuku, HI 96793-2581
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005796 | Medicaid | HI |
Other names
- Maui Memorial Medical Center
Other providers in Wailuku, HI
- Maui Cancer Clinic, Inc.
- Maui Christian Counseling Professional Corporation
- Maui Day Care Center for Senior Citizens and Disabled, Inc.
- Maui Dental Professionals LLC
- Maui Diagnostic Imaging LLC
- Maui Health System a Kaiser Foundation Hospitals LLC
- Maui Health System a Kaiser Foundation Hospitals LLC
- Maui Heart & Lung, LLC
- Maui Infectious Diseases LLC
- Maui Integrative Medicine
All providers in Wailuku, HI · General Acute Care Hospital in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.