NPIMap

Organization Active NPI

Alii Health Center

  • Multi-Specialty Clinic/Center
  • Kailua Kona, HI
National Provider Identifier
1285107698
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ALII HEALTH CENTER
Practice address
78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408
Phone
(808) 747-8321
Fax
(808) 331-8682
NPI assigned
Jan 8, 2019
Last updated
May 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Shelly-Ann Cataraha
Title
Operations Director
Phone
(808) 747-8344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408

Mailing address

78-6831 Alii Dr Ste 328
Kailua Kona, HI 96740-4408
Phone (808) 747-8321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191002003639 HI Part B Supplier - Clinic/Group Practice 4486984549 Receives reassigned benefits from 69 practitioners
1 other NPI on this enrollment
Practice locations: Kailua Kona, HI

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

78-6831 Alii Dr
Ste 328
Kailua Kona, HI 96740
Phone (808) 747-8321

Practitioners & affiliated clinicians

Practitioners 81

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.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1285107698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 328",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967404408",
            "telephone_number": "808-747-8321",
            "fax_number": "808-331-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-6831 ALII DR STE 328",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967404408",
            "telephone_number": "808-747-8321",
            "fax_number": "808-331-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALII HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-08",
        "last_updated": "2021-05-11",
        "certification_date": "2021-04-12",
        "status": "A",
        "authorized_official_last_name": "CATARAHA",
        "authorized_official_first_name": "SHELLY-ANN",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "808-747-8344"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.