Active NPI
Kihei-Wailea Medical Center. LLC
- Specialist
- Kihei, HI
National Provider Identifier
1255475752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- KIHEI-WAILEA MEDICAL CENTER. LLC
- Practice address
- 221 Piikea Ave # a
Kihei, HI 96753-8268 - Phone
- (808) 874-8100
- Fax
- (808) 874-6887
- NPI assigned
- Feb 16, 2007
- Last updated
- Aug 22, 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
- Gini Santos
- Title
- Office Manager
- Phone
- (808) 270-0491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
221 Piikea Ave # a
Kihei, HI 96753-8268
Mailing address
221 Piikea Ave # a
Kihei, HI 96753-8268
Phone (808) 874-8100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
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 |
|---|---|---|---|
| 12D0619545 | Kihei Wailea Medical Center | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Kihei, HI
- NPI 1225157902
-
- Internal Medicine Physician
- Kihei, HI
- NPI 1649360033
-
- Internal Medicine Physician
- Kula, HI
- NPI 1417452236
-
- Family Medicine Physician
- Kihei, HI
- NPI 1932372265
-
- Family Medicine Physician
- Kihei, HI
- NPI 1467450486
-
- Adult Medicine Physician
- Kihei, HI
- NPI 1083790653
-
- Physician Assistant
- Kihei, HI
- NPI 1952182263
-
- Physician Assistant
- Kihei, HI
- NPI 1164276358
-
- Medical Physician Assistant
- Kihei, HI
- NPI 1922424688
-
- Legal Medicine
- Kihei, HI
- NPI 1780774174
-
- Family Medicine Physician
- Kihei, HI
- NPI 1295825750
-
- Physician Assistant
- Kihei, HI
- NPI 1376678565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1255475752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 PIIKEA AVE # A",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538268",
"telephone_number": "808-874-8100",
"fax_number": "808-874-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 PIIKEA AVE # A",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538268",
"telephone_number": "808-874-8100",
"fax_number": "808-874-6887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIHEI-WAILEA MEDICAL CENTER. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SANTOS",
"authorized_official_first_name": "GINI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "808-270-0491"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.