Organization Active NPI

Excel Dermatology of Hawaii LLC

  • Dermatology Physician
  • Honolulu, HI
National Provider Identifier
1235941881
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
EXCEL DERMATOLOGY OF HAWAII LLC
Practice address
500 Ala Moana Blvd Ste 4-470
Honolulu, HI 96813-4925
Phone
(808) 495-0906
Fax
(808) 495-4849
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Iris Kimhayoung NohNPI 1104189356
Title
Owner
Phone
(808) 495-0906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X

Addresses

Primary practice location

500 Ala Moana Blvd Ste 4-470
Honolulu, HI 96813-4925

Mailing address

500 Ala Moana Blvd
BLDG 4, Ste 470
Honolulu, HI 96813
Phone (808) 495-0906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250519002320 HI Part B Supplier - Clinic/Group Practice 1658899166 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D2322513Excel Dermatology of Hawaii500 Ala Moana Blvd, BLDG 4, Ste 470, Honolulu, HI 96813RegistrationApr 21, 2027

National Provider Directory

National Provider Directory

Locations

500 Ala Moana Blvd
Bldg 4
Honolulu, HI 96813
Phone (808) 909-9115

500 Ala Moana Blvd
Ste 4-445
Honolulu, HI 96813

Practitioners & affiliated clinicians

Practitioners 2

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": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1235941881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD",
            "address_2": "BLDG 4, STE 470",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-495-0906",
            "fax_number": "808-495-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 4-470",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134925",
            "telephone_number": "808-495-0906",
            "fax_number": "808-495-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DERMATOLOGY OF HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "NOH",
        "authorized_official_first_name": "IRIS",
        "authorized_official_middle_name": "KIMHAYOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-495-0906"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; 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.

Verify at the official NPI Registry.