Active NPI
Koloa DPC LLC
- Internal Medicine Physician
- Koloa, HI
National Provider Identifier
1538072814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- KOLOA DPC LLC
- Practice address
- 5460 Koloa Rd Ste G2O2
Koloa, HI 96756-9421 - Phone
- (802) 355-7479
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- 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
- Molly Rebecca Heublein, MD
- Title
- MD
- Phone
- (802) 355-7479
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | Primary |
Addresses
Primary practice location
5460 Koloa Rd Ste G2O2
Koloa, HI 96756-9421
Mailing address
PO Box 1887
Koloa, HI 96756-1887
Phone (802) 355-7479
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Koloa, HI
- NPI 1720211279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790294400000",
"number": "1538072814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1887",
"city": "KOLOA",
"state": "HI",
"postal_code": "967561887",
"telephone_number": "802-355-7479",
"fax_number": "808-309-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5460 KOLOA RD STE G2O2",
"city": "KOLOA",
"state": "HI",
"postal_code": "967569421",
"telephone_number": "802-355-7479"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOLOA DPC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A",
"authorized_official_last_name": "HEUBLEIN",
"authorized_official_first_name": "MOLLY",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "802-355-7479",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Koloa, HI
- Kaleidoscope Counseling, LLC
- Kauai Medical Clinic
- Kauai Ophthalmology Associates, LLC
- Kauai Osteopathic, Inc
- Kauai Restorative Sports Medicine
- Clara T Krebs, M.D.
- Kualoli Counseling & Psychotherapy, LLC (Shanti Kay Manzano, LCSW)
- Rizelle Lara Murao Lamberton
- Rachel Elizabeth Lindigrin
- Angela Listerud, RD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.