Individual provider Active NPI

Justin Kaleohano Maio, PA-C

  • Medical Physician Assistant
  • Honolulu, HI
National Provider Identifier
1043647381
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
AMD-544 Issued in HI
Practice address
1600 Kapiolani Blvd Ste 508
Honolulu, HI 96814-3804
Phone
(808) 400-6904
Fax
(808) 431-2852
NPI assigned
Oct 1, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X AMD-544 HI Primary

Addresses

Primary practice location

1600 Kapiolani Blvd Ste 508
Honolulu, HI 96814-3804

Mailing address

1600 Kapiolani Blvd Ste 508
Honolulu, HI 96814-3804
Phone (808) 400-6904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131231000301 HI Practitioner - Physician Assistant 6709013493 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawaii Premier Dermatology IncGroup PAC ID 3971941519, 2 clinicians

Practice addresses (Care Compare)

1600 Kapiolani Blvd
Suite 508
Honolulu, HI 96814-3804
Phone (808) 400-6904

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AMD-544HIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Waikiki Health CurrentSince Sep 28, 2013 Accepting new patients
Waikiki Health CurrentSince Sep 28, 2013 Accepting new patients

Locations

845 22nd Ave
#5
Honolulu, HI 96816
Phone (808) 734-2034

277 Ohua Ave
Honolulu, HI 96815
Phone (808) 791-9355

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1043647381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 508",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143804",
            "telephone_number": "808-400-6904",
            "fax_number": "808-431-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 508",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143804",
            "telephone_number": "808-400-6904",
            "fax_number": "808-431-2852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIO",
        "first_name": "JUSTIN",
        "middle_name": "KALEOHANO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-01",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "AMD-544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.