NPIMap

Organization Active NPI

Hawaii Radiologic Associates, LTD.

  • Diagnostic Radiology Physician
  • Hilo, HI
National Provider Identifier
1174679443
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HAWAII RADIOLOGIC ASSOCIATES, LTD.
Practice address
670 Ponahawai St.
Suite 110
Hilo, HI 96720
Phone
(808) 933-2540
Fax
(808) 961-9236
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Stacey Aguiar
Title
Executive Director
Phone
(808) 935-1825

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

670 Ponahawai St.
Suite 110
Hilo, HI 96720

Mailing address

688 Kinoole St.
Suite 103
Hilo, HI 96720
Phone (808) 935-1825

Other identifiers 1

IdentifierTypeStateIssuer
0012674MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CO, WA, GA, CA, RI, TX, FL8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20040316000098 HI Part B Supplier - Clinic/Group Practice 0941190953 Receives reassigned benefits from 36 practitioners
Practice locations: Honolulu, HI; Pepeekeo, HI; Kailua Kona, HI; Hilo, HI
O20150107000259 CO Part B Supplier - Clinic/Group Practice 0941190953 Receives reassigned benefits from 126 practitioners
Practice locations: Englewood, CO; Parker, CO; Morrison, CO; Littleton, CO; Greenwood Village, CO; Glendale, CO; Denver, CO; Colorado Springs, CO…
O20230228000817 WA Part B Supplier - Clinic/Group Practice 0941190953 Receives reassigned benefits from 1 practitioner
Practice locations: Camas, WA
O20240403000753 GA Part B Supplier - Clinic/Group Practice 0941190953 Receives reassigned benefits from 1 practitioner
Practice locations: Savannah, GA
O20240430002082 CA Part B Supplier - Clinic/Group Practice 0941190953 Receives reassigned benefits from 1 practitioner
Practice locations: San Diego, CA
O20240717002732 RI Part B Supplier - Clinic/Group Practice 0941190953 Receives reassigned benefits from 1 practitioner
Practice locations: Warwick, RI
O20241104000140 TX Part B Supplier - Clinic/Group Practice 0941190953 Receives reassigned benefits from 1 practitioner
Practice locations: Austin, TX
O20250718004138 FL Part B Supplier - Clinic/Group Practice 0941190953 Receives reassigned benefits from 1 practitioner
Practice locations: Naples, FL

National Provider Directory

National Provider Directory

Locations

85 Puuhonu PL Ste 102
Hilo, HI 96720

670 Ponahawai St
Ste 10
Hilo, HI 96720

1285 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3878

670 Ponahawai St
Ste 110
Hilo, HI 96720
Phone (808) 933-2540

75-5653 Kuakini Hwy
Kailua Kona, HI 96740
Phone (808) 329-7314

Practitioners & affiliated clinicians

Practitioners 149

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 149

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1174679443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 KINOOLE ST.",
            "address_2": "SUITE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-935-1825",
            "fax_number": "808-935-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 PONAHAWAI ST.",
            "address_2": "SUITE 110",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-933-2540",
            "fax_number": "808-961-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII RADIOLOGIC ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-02",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "AGUIAR",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-935-1825"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012674",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.