Individual provider Active NPI

Mark C Schwab, M.D.

  • Cardiovascular Disease Physician
  • Wailuku, HI
National Provider Identifier
1104880145
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6263 Issued in HI
Practice address
1887 Wili PA Loop
Suite 1
Wailuku, HI 96793-1273
Phone
(808) 244-8993
Fax
(808) 244-9885
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6263 HI Primary

Addresses

Primary practice location

1887 Wili PA Loop
Suite 1
Wailuku, HI 96793-1273

Mailing address

1887 Wili PA Loop
Suite 1
Wailuku, HI 96793-1273
Phone (808) 244-8993

Other identifiers 1

IdentifierTypeStateIssuer
02675101MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104880145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1887 WILI PA LOOP",
            "address_2": "SUITE 1",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931273",
            "telephone_number": "808-244-8993",
            "fax_number": "808-244-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1887 WILI PA LOOP",
            "address_2": "SUITE 1",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931273",
            "telephone_number": "808-244-8993",
            "fax_number": "808-244-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWAB",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "6263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02675101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.