Active NPI
Primary Care Physician Enterprise LLC
- Clinic/Center
- Ewa Beach, HI
National Provider Identifier
1164054763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PRIMARY CARE PHYSICIAN ENTERPRISE LLC
- Practice address
- 91-6390 Kapolei Pkwy
Ewa Beach, HI 96706 - Phone
- (808) 691-4600
- NPI assigned
- Feb 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Whitney Limm
- Title
- Chair
- Phone
- (808) 691-7714
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
91-6390 Kapolei Pkwy
Ewa Beach, HI 96706
Mailing address
91-6390 Kapolei Pkwy
Ewa Beach, HI 96706-6380
Phone (808) 691-8200
Other names 1
- EMPOWER HEALTH
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200505000681 | HI | Part B Supplier - Clinic/Group Practice | 0244661338 |
Receives reassigned benefits from 39 practitioners Practice locations: Ewa Beach, HI |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 12D2180126 | Empower Health | Certificate of waiver | Mar 5, 2028 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
91-6390 Kapolei Pkwy
Ewa Beach, HI 96706
Phone (808) 691-4600
91-6390 Kapolei Pkwy
#200
Ewa Beach, HI 96706
Practitioners & affiliated clinicians
Practitioners 42
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785801600000",
"number": "1164054763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-6390 KAPOLEI PKWY",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967066380",
"telephone_number": "808-691-8200",
"fax_number": "808-691-3955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-6390 KAPOLEI PKWY",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "96706",
"telephone_number": "808-691-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE PHYSICIAN ENTERPRISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-11",
"last_updated": "2026-08-04",
"certification_date": "2026-08-04",
"status": "A",
"authorized_official_last_name": "LIMM",
"authorized_official_first_name": "WHITNEY",
"authorized_official_title_or_position": "CHAIR",
"authorized_official_telephone_number": "808-691-7714"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EMPOWER HEALTH",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.