Organization Active NPI

Pacific Island Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Kailua, HI
National Provider Identifier
1316014756
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
10510520 Issued in HI
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

Updated by the provider on Sep 11, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08370901MedicaidHI
A5085-4OtherHIHMSA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930036792 HI DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 1951421742 Practice locations: Kailua, 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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pacific Island Medical, Inc156 Hamakua Dr, Kailua, HI 96734-2834(808) 261-8885 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.