Kauai Medical Clinic
Organization Active NPI Multi-Specialty Clinic/Center · Lihue, HI
NPI 1376596643 · NPPES record last updated Jul 6, 2016
Key facts
- NPI
- 1376596643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- KAUAI MEDICAL CLINIC
- Practice address
- 3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098 - Phone
- (808) 245-1500
- Fax
- (808) 246-1625
- NPI assigned
- May 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. David Okabe
- Title
- Cfo, Sr. Vice President
- Phone
- (808) 535-7202
Subparts reporting this organization as parent 4
Practitioners 321
-
David Adler, MD
-
Allon Amitai, MD
-
Vera R. Anakalea, NP-C
-
Jennifer Marie Andrade, APRN
-
Clyner Sagayaga Antalan, M.D.
-
Kourt Bacon, DO
-
Sashi Andrade Braga, M.D.
-
Leo-Daniel Valencia Butac, APRN FNP-BC, DNP
-
Alyssa Anne Carnegie, M.D.
-
Keiko Chen, M.D.
-
Vineet K Chib, M.D.
-
Tyler A. Chihara, D.P.M.
-
Anthony Ivins Clark, M.D.
-
Bridget Collins, M.D.
-
Reese Dare, M.D.
-
Katrina Marie Dembeck, APRN
-
Anne Elizabeth Dempsey, M.D.
-
Summer Douban, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in HI, OR, CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031111000540 | HI | Part B Supplier - Clinic/Group Practice | 5092628479 |
Receives reassigned benefits from 312 practitioners Practice locations: Eleele, HI; Waimea, HI; Lihue, HI; Koloa, HI; Kapaa, HI |
| O20260507001365 | OR | Part B Supplier - Clinic/Group Practice | 5092628479 |
Receives reassigned benefits from 1 practitioner Practice locations: Sherwood, OR |
| O20260616001060 | CA | Part B Supplier - Clinic/Group Practice | 5092628479 |
Receives reassigned benefits from 1 practitioner Practice locations: San Bruno, CA |
National Provider Directory
Locations
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
46-001 Kamehameha Hwy
Ste 110
Kaneohe, HI 96744
4-831 Kuhio Hwy
Ste 332
Kapaa, HI 96746
4-831 Kuhio Hwy
Ste 372
Kapaa, HI 96746
4-1105 Kuhio Hwy
Kapaa, HI 96746
Phone (808) 822-3431
3-3420B Kuhio Hwy
Lihue, HI 96766
Phone (808) 245-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
3-3420 Kuhio Hwy
Suite B
Lihue, HI 96766-1098
Mailing address
1946 Young St
Suite 320
Honolulu, HI 96826-2169
Phone (808) 973-7320
Other providers in Lihue, HI
- Kauai Early Intervention Program
- Kauai Hand Therapy LLC
- Kauai Hearing Conservation
- Kauai Hospice Inc
- Kauai Hospice Inc
- Kauai Medical Clinic
- Kauai Medical Clinic (Eye Care Center & Optical Shop)
- Kauai Mental Health Advocates
- Kauai Physical Therapy
- Kauai Professional Pharmacy LLC
All providers in Lihue, HI · Multi-Specialty Clinic/Center in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.