Individual provider Active NPI

Adam C Protain, MD

  • Nephrology Physician
  • Wailuku, HI
National Provider Identifier
1083879803
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-20804 Issued in HI
Practice address
105 Maui Lani Pkwy Ste 100
Wailuku, HI 96793-2443
Phone
(808) 442-7777
Fax
(808) 442-7778
NPI assigned
Jul 21, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD-20804 HI Primary

Addresses

Primary practice location

105 Maui Lani Pkwy Ste 100
Wailuku, HI 96793-2443

Mailing address

PO Box 3068
Portland, OR 97208-3068
Phone (503) 229-7976

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200110002005 HI Practitioner - Nephrology 7810168333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Colorado School of Medicine, Aurora, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Renal Clinic IncGroup PAC ID 8628065836, 39 clinicians

Practice addresses (Care Compare)

105 Maui Lani Pkwy
Suite 100
Wailuku, HI 96793-2443
Phone (808) 442-7777

Hospital & facility affiliations

  • Liberty Dialysis Hawaii - Maui Dialysis Dialysis facility, Wailuku, HI, CCN 122510
  • Liberty Dialysis Hawaii - Kahana Dialysis Facility Dialysis facility, Lahaina, HI, CCN 122515
  • FMC Lanai Community Dialysis Center Dialysis facility, Lanai City, HI, CCN 122506
  • Liberty Dialysis Hawaii - Hawaii Salt Lake Dialysis facility, Honolulu, HI, CCN 122530
  • Maui Memorial Medical Center Hospital, Wailuku, HI, CCN 120002
  • Hilo Benioff Medical Center Hospital, Hilo, HI, CCN 120005
  • Wilcox Memorial Hospital Hospital, Lihue, HI, CCN 120014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Renal Clinic, Inc. Nephrology CurrentSince Nov 12, 2019 Accepting new patients

Locations

105 Maui Lani Pkwy
Ste 100
Wailuku, HI 96793
Phone (808) 244-9555

9701 SW Barnes Rd
Ste 110
Portland, OR 97225
Phone (503) 595-6675

1130 NW 22nd Ave
Ste 640
Portland, OR 97210
Phone (503) 229-7976

8050 SW Warm Springs St
Ste 150
Tualatin, OR 97062
Phone (503) 692-7971

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
  • HI PPO

Interoperability endpoints

  • Direct secure messaging: aprotain21212@hhsc.direct-ci.com
  • Direct secure messaging: aprotain47734@direct.acumenmd.com
  • Direct secure messaging: aprotain100745@oc.providencedirect.org

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1083879803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3068",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083068",
            "telephone_number": "503-229-7976",
            "fax_number": "503-274-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAUI LANI PKWY STE 100",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932443",
            "telephone_number": "808-442-7777",
            "fax_number": "808-442-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROTAIN",
        "first_name": "ADAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "HI",
            "license": "MD-20804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.