Individual provider Active NPI

Diane Coulter, M.D.

  • Urgent Care Clinic/Center
  • Kihei, HI
National Provider Identifier
1154767069
Registry record updated Nov 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
MD-14101 Issued in HI
Practice address
1325 S Kihei Rd Ste 103
Kihei, HI 96753-8145
Phone
(808) 667-6161
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD14101 HI
Family Medicine Physician 207Q00000X MD14101 HI
Urgent Care Clinic/Center 261QU0200X MD-14101 HI Primary

Addresses

Primary practice location

1325 S Kihei Rd Ste 103
Kihei, HI 96753-8145

Mailing address

270 Dairy Rd Ste 239
Kahului, HI 96732-2986
Phone (808) 667-6161

Other practice location 1

2580 Kekaa Dr
E 1
Lahaina, HI 96761-2908
Phone (808) 667-9721

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
I20171201002867 HI Practitioner - Family Practice 0840513115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RP Medical LLCGroup PAC ID 3779877485, 19 clinicians

Practice addresses (Care Compare)

270 Dairy Rd
Kahului, HI 96732-2986
Phone (808) 667-6161

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD14101HIMDFamily Medicine Physician
MD-14101HIMDUrgent Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Health System a Kaiser Foundation Hospitals LLC Current Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Sep 9, 2017 Accepting new patients
RP Medical LLC Urgent Care CurrentSince Oct 1, 2020 Accepting new patients
Maui Health System a Kaiser Foundation Hospitals LLC CurrentSince Sep 9, 2017 Accepting new patients

Locations

270 Dairy Rd
Ste 239
Kahului, HI 96732

1325 S Kihei Rd
Ste 103
Kihei, HI 96753
Phone (808) 879-7781

221 Mahalani St
Wailuku, HI 96793
Phone (808) 242-2290

Networks

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

Interoperability endpoints

  • Direct secure messaging: drcoulter@mmucc-hi.direct.office.nextgen.com

Organizations & group practices 4

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": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604188800000",
    "number": "1154767069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 DAIRY RD STE 239",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322986",
            "telephone_number": "808-667-6161",
            "fax_number": "877-664-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S KIHEI RD STE 103",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967538145",
            "telephone_number": "808-667-6161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2580 Kekaa Dr",
            "address_2": "E 1",
            "address_purpose": "LOCATION",
            "city": "Lahaina",
            "state": "HI",
            "postal_code": "967612908",
            "country_code": "US",
            "telephone_number": "808-667-9721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COULTER",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2020-11-01",
        "certification_date": "2020-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD14101",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "MD14101",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "HI",
            "license": "MD-14101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

Verify at the official NPI Registry.