Active NPI
Pacific Island Medical, Inc.
- Durable Medical Equipment & Medical Supplies
- Kailua, HI
National Provider Identifier
1316014756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 10510520
- Legal business name
- PACIFIC ISLAND MEDICAL, INC.
- Practice address
- 156 Hamakua Dr
Ste.B
Kailua, HI 96734-2834 - Phone
- (808) 261-8885
- NPI assigned
- Nov 29, 2006
- 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
- Mr. Thomas Michael Schuetter
- Title
- Vice-President
- Phone
- (808) 261-8885
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 10510520 | HI | Primary |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 10510520 | HI |
Addresses
Primary practice location
156 Hamakua Dr
Ste.B
Kailua, HI 96734-2834
Mailing address
156 Hamakua Dr Ste B
Kailua, HI 96734-2834
Phone (808) 261-8885
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08370901 | Medicaid | HI | |
| A5085-4 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930036792 | HI | DME Supplier - Medical Supply Company With Respiratory Therapist | 1951421742 | Practice locations: Kailua, 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.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Pacific Island Medical, Inc | Continuous Positive Airway Pressure (CPAP) Devices|High Freq Chest Wall Oscillation Devices/Supplies|Intermittent Positive Pressure Breathing IPPB DEV|Intrapulmonary Percussive Ventilation Devices|Mechanical In-Exsufflation Devices|Nebulizer Equipment and/or Supplies|Oxygen Equipment and/or Supplie… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
156 Hamakua Dr
Ste B
Kailua, HI 96734
Phone (808) 261-8885
156 Hamakua Dr
Kailua, HI 96734
Phone (808) 261-8885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1316014756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 HAMAKUA DR STE B",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342834",
"telephone_number": "808-261-8885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 HAMAKUA DR",
"address_2": "STE.B",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342834",
"telephone_number": "808-261-8885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PACIFIC ISLAND MEDICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "SCHUETTER",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "VICE-PRESIDENT",
"authorized_official_telephone_number": "808-261-8885",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "HI",
"license": "10510520",
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "HI",
"license": "10510520",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08370901",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "A5085-4",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.