NPIMap

Organization Active NPI

Castle Medical Center

  • General Acute Care Hospital
  • Kailua, HI
National Provider Identifier
1316937691
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CASTLE MEDICAL CENTER
Practice address
640 Ulukahiki St
Kailua, HI 96734-4454
Phone
(808) 263-5142
NPI assigned
Oct 26, 2005
Last updated
Jul 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Authorized official

Name
Nicolas Johnson
Title
Finance Officer
Phone
(808) 263-5142

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

640 Ulukahiki St
Kailua, HI 96734-4454

Mailing address

640 Ulukahiki St
Kailua, HI 96734-4454

Other identifiers 1

IdentifierTypeStateIssuer
082268-01MedicaidHI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Bluemark LLC / Office Ally

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040225000693 HI Part B Supplier - Clinic/Group Practice 6608762778 Receives reassigned benefits from 112 practitioners
2 other NPIs on this enrollment
Practice locations: Kailua, HI; Makawao, HI; Kapolei, HI; Kaneohe, HI; Honolulu, HI
O20050215000479 HI Part A Provider - Hospital 6608762778 Practice locations: Kaneohe, HI; Kailua, HI; Honolulu, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316937691. Details of each certification follow.

Hospital certification: CCN 120006

Legal name
CASTLE MEDICAL CENTER
Doing business as
ADVENTIST HEALTH CASTLE
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 18, 2007
Beds
160
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Jan 29, 1960 in HI
Enrollment address
640 Ulukahiki St
Kailua, HI 96734-4454
Other Hospital Practice Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

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 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Adventist Health CastleCCN 120006 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
12D0690886Adventist Health Castle Laboratory SVCS Dept640 Ulukahiki St, Kailua, HI 96734AccreditationJan 2, 2027

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chase Aalborg Individual Corporate OfficerPresident Oct 14, 2024
W-2 Managing EmployeePresident Oct 14, 2024
Kerry L Heinrich Individual Corporate OfficerChair Jan 1, 2022
Corporate Director Dec 15, 2014
John H Cress Individual Corporate DirectorBoard Member Oct 1, 2024
Meredith S Jobe Individual Corporate OfficerSecretary Mar 31, 2014
Eric a Stevens Individual Corporate OfficerVice Chair Mar 5, 2025
Richard K Reiner Individual Corporate Director Jan 16, 2017
Joy a. Fehr Individual Corporate DirectorBoard Member Oct 1, 2020
Jonathan J Daggett Individual Corporate DirectorBoard Member Jan 1, 2024
Andrew R Davis Individual Corporate Director May 5, 2017
Ann K Beckett Individual Corporate DirectorBoard Member Jan 1, 2024
Nick C. Johnson Individual Corporate OfficerTreasurer Oct 2, 2022
Marc K Woodson Individual Corporate Director Jan 1, 2019
John C Freedman Individual Corporate Director Sep 26, 2016
Jack W Wagner Individual Corporate DirectorBoard Member Dec 1, 2022
Kenneth Jutzy Individual Corporate DirectorBoard Member Jan 1, 2024
Bradford C Newton Individual Corporate DirectorBoard Member Aug 16, 2021
Robert a Cherry Individual Corporate Director May 5, 2017
Larry L Innocent Individual Corporate DirectorBoard Member Sep 19, 2011
Adventist Health System/West Organization, Roseville, CA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Operational/Managerial Control Jan 1, 1966

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 105

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 105

Practitioners & affiliated clinicians

Practitioners 136

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 136

Affiliated clinicians 358

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 358

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1316937691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ULUKAHIKI ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344454",
            "telephone_number": "808-263-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "NICOLAS",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "808-263-5142"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082268-01",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.2019.3",
            "affiliationName": "Bluemark LLC / Office Ally",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "640 Ulukahiki St",
            "city": "Kailua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967344454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.